location
search-icon
person
Mr. Wyatt Randolph Eddy, MS,MMS,PA-C
Medical Physician Assistant in Kingman, Arizona
NPI 1285016394

Wyatt Randolph Eddy is a Medical Physician Assistant based in Kingman, AZ and is specialized in Medical. Wyatt Randolph Eddy practices in Kingman, AZ and has the professional credentials of MS,MMS,PA-C. The NPI Number for Wyatt Randolph Eddy is 1285016394 and holds a License No. 6055 (Arizona).

The current practice location address for Wyatt Randolph Eddy is 3269 Stockton Hill Rd, Kingman, AZ and can be reached out via phone at 928-757-2101.

Location: 3269 Stockton Hill Rd, Kingman, AZ, 86409-3619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285016394
Provider Name
Wyatt Randolph Eddy
Credential
MS,MMS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
3269 Stockton Hill Rd, Kingman, AZ, 86409-3619
Phone Number
928-757-2101
Fax Number
Provider Enumeration Date
06/25/2015
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
033429 05 AZ
institution
Provider Business Practice Location Address Details
Address
3269 Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-757-2101
Fax Number
person
Provider Business Mailing Address Details
Address
3269 Stockton Hill Rd
City
Kingman
State
Arizona
Zip
86409-3619
Phone Number
928-757-2101
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
6055 (Arizona)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.