Wyatt, Roger

Wyatt, Roger is an individual health care provider with primary practice located at 315 E Elm St Ste 100, Caldwell ID 83605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wyatt, Roger can be contacted via phone (208) 302-7100.

Contact Information

Primary practice address
315 E Elm St Ste 100 Caldwell ID 83605
Phone: (208) 302-7100
Fax: (208) 302-7155
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R73187 Arizona
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M-12951 Idaho

Profile Details

NPI number 1326305004
LBN Legal business name Wyatt, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2012
Last updated Dec 5th, 2016 - about 10 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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