Individual
WILLIAM CARL WYATT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1000
(253) 968-4989
Mailing address
314 MARTIN LUTHER KING JR WAY STE 300, TACOMA, WA 98405-4292
(253) 274-1668
(253) 274-1685
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28028
NE
Other
Enumeration date
01/15/2013
Last updated
04/17/2019
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