Individual
RICHARD ALLEN WYATT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
378 S PINNACLE HILLS PKWY, STE 100, ROGERS, AR 72758
(479) 757-4772
Mailing address
409 CASCADE LN, CAVE SPRINGS, AR 72718-9430
(501) 658-0123
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
E-16452
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/31/2019
Last updated
05/24/2023
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