P Wade Wyatt is a Ophthalmology in Salt Lake City, Utah. P Wade Wyatt practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for P Wade Wyatt is 1700082104. The last update date is 2009-09-30.
P Wade Wyatt's current location address is 1901 W Parkway Blvd, Salt Lake City, Utah. You can contact this provider via phone number 8018862020 and fax number 8019540054. The mailing address for P Wade Wyatt is 1901 W Parkway Blvd, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | P Wade Wyatt |
|---|---|
| Address | 1901 W Parkway Blvd, Salt Lake City, Utah |
| Phone Number | 8018862020 |
| Fax Number | 8019540054 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1700082104 |
|---|---|
| Provider Enumeration Date | 2007-06-22 |
| Last Updated Date | 2009-09-30 |
Provider Mailing Address Detail
| Address | 1901 W Parkway Blvd |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 84119 |
| Phone Number | 8018862020 |
| Fax Number | 8019540054 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 64451081205 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1700082104 | UT | -- |
Post Comment/ Review Below
What is the P Wade Wyatt's unique identification number?
The P Wade Wyatt has been assigned the NPI (National Provider Identifier) Number 1700082104 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where P Wade Wyatt's facilities are situated?
The facilities of P Wade Wyatt are physically located at the following address: 1901 W Parkway Blvd, Salt Lake City, UT, 84119.
What is P Wade Wyatt's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for P Wade Wyatt is Ophthalmology, and the taxonomy code that classifies this field of practice is 207W00000X.
On what date was the 1700082104 assigned to P Wade Wyatt?
The P Wade Wyatt was issued its 1700082104 on 2007-06-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to P Wade Wyatt, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to P Wade Wyatt, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-09-30.
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