Provider Demographics
NPI:1801200753
Name:RAMEY, WYATT LANGDON (MD)
Entity Type:Individual
Prefix:DR
First Name:WYATT
Middle Name:LANGDON
Last Name:RAMEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 N HACIENDA DEL SOL RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6057
Mailing Address - Country:US
Mailing Address - Phone:713-503-6511
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:ROOM 4303
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-5070
Practice Address - Country:US
Practice Address - Phone:520-626-0704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-19
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR74463207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery