WYATT RANDOLPH EDDY

KINGMAN, AZ
NPI1285016394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AZ  6055)
Enumeration Date2015-06-25
Last Update Date2020-12-23
Business Address
Mr. WYATT RANDOLPH EDDY MS, MMS, PA-C
3269 STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101
Mailing Address
Mr. WYATT RANDOLPH EDDY MS, MMS, PA-C
3269 N STOCKTON HILL RD
KINGMAN, AZ 86409-3619
Phone number: 928-757-2101