Organization
DP WYATT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
POWELL B AUER MD (OWNER)
(318) 990-9099
Entity
Organization
Contact information
Practice address
708 NORTH ASHLEY RIDGE LOOP BUILDING 400, SHREVEPORT, LA 71106
(318) 698-7000
(318) 698-7006
Mailing address
PO BOX 5237, SHREVEPORT, LA 71135-5237
(318) 798-4539
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305171
—
LA
Enumeration date
05/06/2022
Last updated
05/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us