NPI 1336889559

Ethan James Matthew, MD

Practitioner Dermatology Physician Casper, WY

Practice location

Address: 6631 E 2nd St STE 100, Casper, WY 82609-4355
Phone: (307) 243-1155
Fax: (307) 243-1199
Mailing address: 801 York St, Manitowoc, WI 54220-4630

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 19102A (WY)

Other Dermatology providers in Wyoming →

Registry record

NPI: 1336889559
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2022
Record last updated: 2 Jul 2026

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.