DR. Theodore Eugene Wyman, M.D. is a general practice in Banning, CA with 22 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Theodore Eugene Wyman, M.D. NPI is 1083926919. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2002
The provider's business location address is:
264 N HIGHLAND SPRINGS AVE
SUITE 5A
BANNING, CA
ZIP 92220-082
Phone: (951) 769-0079
The NPI 1083926919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/8/2010 and was last updated on 4/13/2015.