Harrison, John Wyatt

Harrison, John Wyatt is an sole proprietor health care provider with primary practice located at 6750 E Baywood Ave , Mesa AZ 85206-1749. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Harrison, John Wyatt can be contacted via phone (480) 321-4102.

Contact Information

Primary practice address
6750 E Baywood Ave Mesa AZ 85206-1749
Phone: (480) 321-4102
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35565 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 43224 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 35565 Arizona

Profile Details

NPI number 1730133489
LBN Legal business name Harrison, John Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jan 28th, 2025 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730133489 NPPES
Arizona MEDICAID 115520
Arizona Other 0445150

Popular Providers