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Individual

WYATT BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8739 E VIA DE VIVA, SCOTTSDALE, AZ 85258-4006
(916) 956-5613
Mailing address
8739 E VIA DE VIVA, SCOTTSDALE, AZ 85258-4006

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59090
CA

Other

Enumeration date
07/06/2020
Last updated
02/01/2021
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