Doctor Name: | MR. FRANK DAVID WYATT |
NPI Number: | 1922425164 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD, LD |
License Number: | 0943 |
Business Practice Address: | 500 N Main St Ste 4p Roswell, NM - 882014729 |
Business Phone Number: | 5124237348 |
Business Fax Number: | |
Mailing Address: | 700 N Missouri Ave Apt 4, ROSWELL |
State: | NM |
Postal Code: | 882014859 |
Phone Number: | 5124237348 |
Fax Number: | |
NPI Enumeration Date: | 03/26/2014 |
NPI Last Update Date: | 04/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |