Wyatt, Angela J

Wyatt, Angela J is an individual health care provider with primary practice located at 150 N Verde St Ste 101 , Flagstaff AZ 86001-5257. She recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Wyatt, Angela J can be contacted via phone (928) 779-6923.

Contact Information

Primary practice address
150 N Verde St Ste 101 Flagstaff AZ 86001-5257
Phone: (928) 779-6923
Fax: (928) 779-6924
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 42581 Arizona
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 42581 Arizona
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 226600 New York
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X M4667 Texas
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X 42581 Arizona
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 226600 New York
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X M4667 Texas
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 42581 Arizona
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 226600 New York
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X M4667 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 42581 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X M4667 Texas
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 226600 New York
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X M4667 Texas
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 226600 New York

Profile Details

NPI number 1528011368
LBN Legal business name Wyatt, Angela J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 15th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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