ANGELA J WYATT

FLAGSTAFF, AZ
NPI1528011368
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AZ  42581)
Additional Taxonomies207ND0900X Dermatology, Dermatopathology
(Licence: AZ  42581)
207NP0225X Dermatology, Pediatric Dermatology
(Licence: AZ  42581)
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
(Licence: NY  226600)
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
(Licence: TX  M4667)
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology
(Licence: AZ  42581)
207NP0225X Dermatology, Pediatric Dermatology
(Licence: NY  226600)
207NP0225X Dermatology, Pediatric Dermatology
(Licence: TX  M4667)
207NS0135X Dermatology, Procedural Dermatology
(Licence: AZ  42581)
207NS0135X Dermatology, Procedural Dermatology
(Licence: NY  226600)
207NS0135X Dermatology, Procedural Dermatology
(Licence: TX  M4667)
207N00000X Dermatology
(Licence: TX  M4667)
207ND0900X Dermatology, Dermatopathology
(Licence: NY  226600)
207ND0900X Dermatology, Dermatopathology
(Licence: TX  M4667)
207N00000X Dermatology
(Licence: NY  226600)
Enumeration Date2006-05-19
Last Update Date2019-01-15
Business Address
ANGELA J WYATT M.D.
150 N VERDE ST STE 101
FLAGSTAFF, AZ 86001-5257
Phone number: 928-779-6923
Mailing Address
ANGELA J WYATT M.D.
1501 S YALE ST SUITE 152
FLAGSTAFF, AZ 86001-7304
Phone number: 928-779-6923