Chantee I Wyatt, PA-C

NPI #1104135326 in Logan, Utah

Provider Information

NPI Number: 1104135326
Entity Type: Individual
Name: Chantee I Wyatt, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Oct 5, 2010
Last Updated: Oct 21, 2024

Practice Location

Address: 1451 N 200 E SUITE #250
City: Logan
State: Utah
ZIP Code: 84341
Phone: (435) 363-7853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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