James J Wyman is a Sports Medicine in Puyallup, Washington. James J Wyman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for James J Wyman is 1477572931. The last update date is 2012-04-13.
James J Wyman's current location address is 11212 Sunrise Blvd E Ste 201, Puyallup, Washington. You can contact this provider via phone number 2534460750 and fax number 2534460757. The mailing address for James J Wyman is 11212 Sunrise Blvd E Ste 201, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James J Wyman |
|---|---|
| Address | 11212 Sunrise Blvd E Ste 201, Puyallup, Washington |
| Phone Number | 2534460750 |
| Fax Number | 2534460757 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1477572931 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2012-04-13 |
Provider Mailing Address Detail
| Address | 11212 Sunrise Blvd E Ste 201 |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983748847 |
| Phone Number | 2534460750 |
| Fax Number | 2534460757 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD00037260 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1477572931 | WA | -- | |
| 3240WY | WA | REGENCE | |
| 135267 | WA | L&I |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to James J Wyman by the Centers for Medicare & Medicaid Services?
The James J Wyman has been issued the NPI (National Provider Identifier) 1477572931 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where James J Wyman's facilities are situated?
The facilities of James J Wyman are physically located at the following address: 11212 Sunrise Blvd E Ste 201, Puyallup, WA, 983748847.
What is James J Wyman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The James J Wyman's specialized field of practice is Sports Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Xx0005X.
On what date did the James J Wyman receive the assignment of its 1477572931 from the Centers for Medicare & Medicaid Services?
The James J Wyman was issued its 1477572931 by the Centers for Medicare & Medicaid Services on 2006-07-18.
As of what date was the information regarding James J Wyman, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to James J Wyman, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-04-13.
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