DR. Dale H Wytock, MD

NPI #1518960467 in Liberty, Missouri

Provider Information

NPI Number: 1518960467
Entity Type: Individual
Name: DR. Dale H Wytock, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MD
Enumeration Date: May 24, 2005
Last Updated: Jul 18, 2008

Practice Location

Address: 2521 GLENN HENDREN DR
Address 2: STE 408
City: Liberty
State: Missouri
ZIP Code: 64068-3388
Phone: (816) 478-4887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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