MR. Derek R Wynn, PA
NPI #1043689441 in Grangeville, Idaho
Provider Information
- NPI Number
- 1043689441
- Entity Type
- Individual
- Name
- MR. Derek R Wynn, PA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Sep 16, 2015
- Last Updated
- Sep 16, 2015
Practice Location
- Address
- 607 W MAIN STREET
- City
- Grangeville
- State
- Idaho
- ZIP Code
- 83530
- Phone
- (208) 983-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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