Organization
DIRECT DOCTOR CARE PLLC
Active
Other names
Direct Doctor Care
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER WYATT MD (OWNER)
(208) 965-4899
Entity
Organization
Contact information
Practice address
509 S MIDDLETON RD STE 105, MIDDLETON, ID 83644-6047
(208) 668-2080
Mailing address
509 S MIDDLETON RD STE 105, MIDDLETON, ID 83644-6047
(208) 965-4899
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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