Individual
SADIE N WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16528 E DESMET CT STE B3100, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61495940
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2022
Last updated
03/25/2024
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