Search › Oklahoma › 183500000X
Bernie Wyatt
NPI 1245384361 · on the registry since 2007 · sole proprietor
Practice
- Address
- 324 W Broadway St
Okemah, OK 74859 - Phone
- (918) 623-1771
- Fax
- (918) 623-0238
- Organisation at this address
- Sooner Drug And Gifts Or Okemah
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma