Dr. Philip Richard Wyatt
Medical Geneticist
3101 Old Pecos Trl
Santa Fe
, New Mexico 87505-9025
Dr. Philip Richard Wyatt
Medical Geneticist
3101 Old Pecos Trl
Santa Fe
, New Mexico 87505-9025
(505) 438-2220
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About
Features
Specialties
- Medical Geneticist
Languages spoken
- English
Location
First Address
- Dr. Philip Richard Wyatt
- 3101 Old Pecos Trl
- Santa Fe, NM
- Zip : 87505-9025
- Fax : (505) 438-2220
- Phone : (505) 438-2211
Second Address
- Dr. Philip Richard Wyatt
- 3101 Old Pecos Trl
- Santa Fe, NM
- Zip : 87505-9025
- Fax : (505) 438-2220
- Phone : (505) 438-2211
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 170100000X | Medical Geneticist | 21374 | KY |
National Provider Identifier
| NPI | 1982819199 |
|---|---|
| Provider Name | Dr. Philip Richard Wyatt |
| First Address | Santa Fe, NM 87505-9025 |
| Second Address | Santa Fe, NM 87505-9025 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.