Douglas B Wyatt MD PA

NPI #1356649131 in Amarillo, Texas

Provider Information

NPI Number: 1356649131
Entity Type: Organization
Organization Name: Douglas B Wyatt MD PA
Primary Specialty: Surgery
Enumeration Date: Mar 3, 2011
Last Updated: May 31, 2011

Practice Location

Address: 3501 S SONCY RD STE 109
Address 2: SUITE 109
City: Amarillo
State: Texas
ZIP Code: 79119-6405
Phone: (806) 467-2888

Authorized Official

Name: DR. DOUGLAS B WYATT, M.D.
Title: MEDICAL DOCTOR, GENERAL SURGEON
Phone: (806) 467-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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