James J Wyman, MD
Orthopaedic Surgery, Sports Medicine in Puyallup, WA. Individual provider (NPI-1).
NPI number1477572931
StatusActive
Last updated in NPPESApr 13, 2012
Details
- NPI
- 1477572931
- Entity type
- Individual (NPI-1)
- Name
- James J Wyman
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2006
- Last updated
- Apr 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | MD00037260 | WA | Yes |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | MD00037260 | WA |
Practice location
11212 Sunrise Blvd E Ste 201Puyallup, WA 98374-8847
Phone 253-446-0750 · Fax 253-446-0757
Mailing address
11212 Sunrise Blvd E Ste 201Puyallup, WA 98374-8847
Phone 253-446-0750 · Fax 253-446-0757
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