Wyatt Banks (NPI# 1417000753, PAC ID# 4183931348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1417000753 |
| PAC ID by PECOS | 4183931348 |
| Professional Enrollment ID | I20150921001325 |
| Full Name | Wyatt Banks |
| Address |
660 E Main St B Enterprise Valley Pt Enterprise UT 84725 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICAL THERAPY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 660 E Main St B, Enterprise Valley Pt, Enterprise, UT 84725 |
| Street Address |
660 E MAIN ST B ENTERPRISE VALLEY PT |
| City | ENTERPRISE |
| State | UT |
| Zip | 84725 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William T Graff | Family Practice | Enterprise Valley Medical Clinic, Inc. | 223 S 200, Enterprise, UT 84725 |
| City | ENTERPRISE |
| Zip Code | 84725 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ENTERPRISE + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.