NPI 1093713067

Rowan E Tichenor, MD

Practitioner Dermatology Physician Casper, WY

Practice location

Address: 1119 E 3rd St, Casper, WY 82601-2905
Phone: (307) 266-2772
Fax: (307) 266-2076

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2634A (WY)

Other Dermatology providers in Wyoming →

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 2634A (WY)

Registry record

NPI: 1093713067
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2005
Record last updated: 29 Jul 2014

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.