Individual provider · Type 1 NPI

John Creedmore Wyatt Iii, MD

Diagnostic Radiology Physician · Mesquite, TX

NPI number 1871584904 Active

Practice location

529 N Galloway Ave, Suite 16
Mesquite, TX 75149-3420

Fax (972) 216-7346

Mailing address

PO Box 180065
Dallas, TX 75218-0065

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XE6695 (TX)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1871584904

John Creedmore Wyatt Iii, MD's National Provider Identifier is 1871584904, issued on Oct 28, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mesquite, TX. The record was last updated on Sep 22, 2008.