IndividualActive
Philip Wyatt, M.D.
NPI 1982819199 · Ph.D. Medical Genetics · Santa Fe, NM
Provider details
- NPI number
- 1982819199
- Entity type
- Individual
- Primary specialty
- Ph.D. Medical GeneticsOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 21374 (KY)
Specialties & taxonomies
Other Service Providers
Practice location
3101 Old Pecos Trl
Santa Fe, NM 87505-9025
Phone: (505) 438-2211
Fax: (505) 438-2220
Approximate (ZIP-level) locationGet directions
Mailing address
3101 Old Pecos Trl
Santa Fe, NM 87505-9025
Registry dates
- Enumerated
- 2007-05-11
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.