NPI 1083926919

Theodore Eugene Wyman, MD

Practitioner General Practice Physician Riverside, CA

Practice location

Address: 3579 Arlington Ave STE 300, Riverside, CA 92506-3915
Phone: (951) 341-9333
Fax: (951) 341-9330

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A104884 (CA)

Other General Practice providers in California →

Occupational Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence A104884 (CA)

Other Preventive Medicine providers in California →

Registry record

NPI: 1083926919
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2010
Record last updated: 13 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.