Individual
HARRY WILMER WYRE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 22033-1744
(703) 620-8900
(703) 620-2288
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 22033-1744
(703) 620-8900
(703) 620-2288
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101038883
VA
Other
Enumeration date
07/12/2005
Last updated
10/16/2007
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