Individual
DR. WILLIAM GEOFFREY WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2200 BERGQUIST DR, SUITE 1, ATTN: CREDENTIALS (CMC), LACKLAND A F B, TX 78236-9907
(210) 292-6707
(210) 292-7964
Mailing address
8938 SHADE TREE, SAN ANTONIO, TX 78254-6819
(704) 953-1802
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
257
NC
Other
Enumeration date
03/31/2006
Last updated
02/11/2009
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