ADVANCED DERMATOLOGY OF WYOMING, INC

JACKSON, WY
NPI1427408319
Entity TypeOrganization
Authorized ContactLINDA CRANDALL
Credentialing Coordinator
970-484-3050
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2016-06-21
Last Update Date2016-10-06
Business Address
ADVANCED DERMATOLOGY OF WYOMING, INC
62 SOUTH REDMOND STREET
JACKSON, WY 83001-8664
Phone number: 307-734-5864
Mailing Address
ADVANCED DERMATOLOGY OF WYOMING, INC
PO BOX 7406
JACKSON, WY 83002-7406
Phone number: 307-734-5864
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