DR. PHILIP RICHARD WYATT M.D.
NPI 1982819199
Medical Genetics, Ph.D. Medical Genetics in Santa Fe, NM
- Individual
- Male
- Medical Genetics, Ph.D. Medical Genetics
About PHILIP WYATT
This page provides the complete NPI Profile along with additional information for Philip Wyatt, a provider established in Santa Fe, New Mexico with a medical specialization in Medical Genetics, Ph.d. Medical Genetics. The healthcare provider is registered in the NPI registry with number 1982819199 assigned on May 2007. The practitioner's primary taxonomy code is 170100000X with license number 21374 (KY). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1982819199 Verify this NPI
- Provider Name
- DR. PHILIP RICHARD WYATT M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3101 OLD PECOS TRL SANTA FE, NM 87505
- Location Phone
- (505) 438-2211
- Location Fax
- (505) 438-2220
- Mailing Address
- 3101 OLD PECOS TRL SANTA FE, NM 87505
- Mailing Phone
- (505) 438-2211
- Mailing Fax
- (505) 438-2220
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-11-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Medical Genetics, Ph.D. Medical Genetics
- Taxonomy Code
- 170100000X
- Type
- Other Service Providers
- License No.
- 21374
- License State
- KY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982819199, enumerated as an "individual" on May 11, 2007.
The provider is located at 3101 OLD PECOS TRL SANTA FE, NM 87505 and the phone number is (505) 438-2211.
Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.
