WYATT WOODARD MSN FNP PC

FLAGSTAFF, AZ
NPI1720082621
Entity TypeOrganization
Authorized ContactWYATT D WOODARD
Owner
928-779-0361
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: AZ  AP1235)
Enumeration Date2005-06-08
Last Update Date2011-06-08
Business Address
WYATT WOODARD MSN FNP PC
320 N LEROUX ST STE B
FLAGSTAFF, AZ 86001-4535
Phone number: 928-779-0361
Mailing Address
WYATT WOODARD MSN FNP PC
320 N LEROUX ST STE B
FLAGSTAFF, AZ 86001-4535
Phone number: 928-779-0361