NPI 1669518668

Western Wyoming Dermatology & Surgery PC

Organisation MOHS-Micrographic Surgery Physician Jackson, WY

Practice location

Address: 62 Redmond Street, Jackson, WY 83002-7406
Phone: (307) 734-5864
Fax: (307) 734-5866
Mailing address: P.O. Box 7406, Jackson, WY 83002

Authorised official

Name: Christian Brook Anderson
Title: Owner, Physician
Phone: (307) 734-5864

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 7168A (WY)

Other Dermatology providers in Wyoming →

Registry record

NPI: 1669518668
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 27 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.