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ERIC WYATT MD NPI 1417007139


NPI Information

NPI: 1417007139
Provider Name: ERIC WYATT, MD
Classification: Dermatology - 207NS0135X
Entity Type: Individual

Specialization: Procedural Dermatology

Organization: CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC

PECOS Registration: Yes

Address:
104 NW 31ST ST
LAWTON, OK
ZIP 73505
Phone: (580) 536-2121
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Eric Wyatt, MD is a procedural dermatology dermatology in Lawton, OK with 30 years of experience. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). Eric Wyatt, MD NPI is 1417007139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:1994

The provider's business location address is:

104 NW 31ST ST
LAWTON, OK
ZIP 73505-100
Phone: (580) 536-2121
Fax: (580) 250-5183

The NPI 1417007139 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 1/12/2007 and was last updated on 9/9/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NS0135XDermatologyProcedural Dermatology19537OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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