NPI 1588008650

Richard Dennis Wyatt

Practitioner Contractor Dover, DE

Practice location

Address: 153 Burnham Ln, Dover, DE 19904-3830
Phone: (302) 345-5322
Fax: (302) 678-0743

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2005209092 (DE)

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Registry record

NPI: 1588008650
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Apr 2013
Record last updated: 19 Apr 2013

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.