MR. Wyatt Randolph Eddy, MS, MMS, PA-C is a medical physician assistant in Kingman, AZ. MR. Wyatt Randolph Eddy, MS, MMS, PA-C NPI is 1285016394. 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:
3269 STOCKTON HILL RD
KINGMAN, AZ
ZIP 86409-619
Phone: (928) 757-2101
The NPI 1285016394 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 6/25/2015 and was last updated on 12/23/2020.