Roger Wyatt, MD

NPI #1326305004 in Caldwell, Idaho

Provider Information

NPI Number: 1326305004
Entity Type: Individual
Name: Roger Wyatt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Apr 18, 2012
Last Updated: Dec 5, 2016

Practice Location

Address: 315 E ELM ST
Address 2: STE 100
City: Caldwell
State: Idaho
ZIP Code: 83605
Phone: (208) 302-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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