SAMUEL BLAKE ECKER

LARAMIE, WY
NPI1033555230
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: CO  0061328)
Additional Taxonomies207N00000X Dermatology
(Licence: WY  6858A)
Enumeration Date2013-05-14
Last Update Date2021-09-27
Business Address
Dr. SAMUEL BLAKE ECKER D.O.
204 MCCOLLUM ST STE 106E
LARAMIE, WY 82070-5151
Phone number: 970-682-3377
Mailing Address
Dr. SAMUEL BLAKE ECKER D.O.
2710 WESTRIDGE CT
FORT COLLINS, CO 80526-6503
Phone number: 970-682-3377