Kristine Danielle Wyatt PA-C

NPI 1033162532 - Physician Assistant - 363AM0700X

NPI Details
NPI 1033162532
Gender Female
Enumeration Date 05/18/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
220 W 71ST ST
TULSA OK, 74132-2011, US
Phone (918) 747-7799
Fax (918) 743-8648
Business Location
220 W 71ST ST
TULSA OK, 74132-2011, US
Phone (918) 747-7799
Fax (918) 743-8648
Toxanomy
Taxonomy Code 363AM0700X
License State Oklahoma
License Number PA755
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According to our database, Kristine Danielle Wyatt PA-C NPI is 1033162532, taxonomy code is 363AM0700X and license number is PA755, license state is located at Oklahoma. Kristine Danielle Wyatt PA-C physically located at 220 W 71st St, Tulsa OK, 74132-2011. NPI Number Kristine Danielle Wyatt PA-C has the Individual type.

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1033162532 NPI number is provided on an as is basis without warranty of any kind. 1033162532 is maintained by the National Plan & Provider Enumeration System. The contents of Kristine Danielle Wyatt PA-C are for informational purposes only.