NPI 1265699235

Doyle Harrison Wyatt, MHPP

Practitioner Case Manager/Care Coordinator Melbourne, AR

Practice location

Address: 1109 E Main St, Melbourne, AR 72556
Phone: (870) 368-4397
Mailing address: PO Box 536, Melbourne, AR 72556-0536

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1265699235
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2008
Record last updated: 19 May 2008

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.