NPI 1033555230

Samuel Blake Ecker, DO

Practitioner Dermatology Physician Laramie, WY

Practice location

Address: 204 McCollum St STE 106e, Laramie, WY 82070-5151
Phone: (970) 682-3377
Fax: (970) 682-3340
Mailing address: 2710 Westridge CT, Fort Collins, CO 80526-6503

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0061328 (CO)

Other Dermatology providers in Wyoming →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 6858A (WY)

Registry record

NPI: 1033555230
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2013
Record last updated: 27 Sep 2021

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.