Individual
DAVID NEAL WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1300 BRADEN ST, JACKSONVILLE, AR 72076-3719
(501) 985-5900
(501) 985-6016
Mailing address
PO BOX 309, JACKSONVILLE, AR 72078-0309
(501) 985-5900
(501) 985-6016
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E1931
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134554003
—
AR
Enumeration date
06/27/2005
Last updated
07/08/2007
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