Eric J. Wyble, Md

NPI 1356317853 - Plastic Surgery - 208200000X

NPI Details
NPI 1356317853
Enumeration Date 02/24/2006
Last Updated 07/10/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ERIC J ERIC
Position OWNER MEDICAL DOCTOR
Phone (228) 865-7299
Fax
Practice Location
1133 45TH AVE
GULFPORT MS, 39501-2564, US
Phone (228) 865-7299
Fax
Business Location
PO BOX 366
GULFPORT MS, 39502-0366, US
Phone (228) 865-7299
Fax
Toxanomy
Taxonomy Code 208200000X
License State Mississippi
License Number 12046
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According to our database, Eric J. Wyble, Md NPI is 1356317853, taxonomy code is 208200000X and license number is 12046, license state is located at Mississippi. Eric J. Wyble, Md physically located at 1133 45th Ave, Gulfport MS, 39501-2564. NPI Number 1033115704 has the healthcare provider type.

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1356317853 NPI number is provided on an as is basis without warranty of any kind. 1356317853 is maintained by the National Plan & Provider Enumeration System. The contents of Eric J. Wyble, Md are for informational purposes only.