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Individual

DR. GREGORY M WYATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
25500 MEDICAL CENTER DR, MURRIETA, CA 92562-5965
(951) 296-6140
(951) 296-6149
Mailing address
42217 RIO NEDO, A203, TEMECULA, CA 92590-3729
(951) 296-6140
(951) 296-6149

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G26574
CA

Other

Enumeration date
08/03/2006
Last updated
07/08/2007
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