WESTERN WYOMING DERMATOLOGY & SURGERY PC
Organization (NPI-2)
Active
Dermatology, MOHS-Micrographic Surgery
Provider Information
- NPI Number
1669518668- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 62 REDMOND STREET, JACKSON, WY, 830027406
- Phone
- (307) 734-5864
- Fax
- (307) 734-5866
Specialties & Taxonomies
Dermatology, MOHS-Micrographic Surgery
Primary License: WY #7168A