P Wade Wyatt, MD

NPI #1700082104 in Holladay, Utah

Provider Information

NPI Number: 1700082104
Entity Type: Individual
Name: P Wade Wyatt, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jun 22, 2007
Last Updated: Sep 30, 2009

Practice Location

Address: 4878 HIGHLAND DR
City: Holladay
State: Utah
ZIP Code: 84117-6007
Phone: (801) 272-8861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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