Individual
DR. CHESTER M WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
118 W STADIUM, MAGNOLIA, AR 71753
(870) 234-6191
Mailing address
118 W STADIUM, MAGNOLIA, AR 71753
(870) 234-6191
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C8165
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120617001
—
AR
01
—
55003
BLUE CROSS BLUE SHIELD
AR
Enumeration date
04/18/2008
Last updated
04/18/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us