DR. PHILIP RICHARD WYATT M.D. NPI 1982819199

NPI Information

DR. Philip Richard Wyatt, M.D. is a medical genetics phd medical genetics in Santa Fe, NM. The provider is a medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. DR. Philip Richard Wyatt, M.D. NPI is 1982819199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3101 OLD PECOS TRL
SANTA FE, NM
ZIP 87505-025
Phone: (505) 438-2211
Fax: (505) 438-2220

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2007.

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:

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