NPI 1528011368
Angela J Wyatt, MD
Practice location
- Address
- 150 N Verde St STE 101, Flagstaff, AZ 86001-5257
- Phone
- (928) 779-6923
- Fax
- (928) 779-6924
- Mailing address
- 1501 S Yale St Suite 152, Flagstaff, AZ 86001-7304
Registered specialties (15)
Dermatology Physician
Primary
Dermatopathology Physician
Pediatric Dermatology Physician
Clinical & Laboratory Dermatological Immunology Physician
Clinical & Laboratory Dermatological Immunology Physician
Clinical & Laboratory Dermatological Immunology Physician
Pediatric Dermatology Physician
Pediatric Dermatology Physician
Procedural Dermatology Physician
Procedural Dermatology Physician
Procedural Dermatology Physician
Dermatology Physician
Dermatopathology Physician
Dermatopathology Physician
Dermatology Physician
Registry record
- NPI
- 1528011368
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 May 2006
- Record last updated
- 15 Jan 2019
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.