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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JORDAN VALLEY DERMATOLOGY

Active Organization

JORDAN VALLEY DERMATOLOGY is a Specialist organization located in CASPER, Wyoming. NPI 1073954913 is currently active in the NPPES registry. Verify at CMS.

Specialist · CASPER, WY

Registration Details

NPI Number
1073954913
Provider Type
Organization
NPI Issued
Jul 8, 2013 (13.12425101913 yrs)
Last Updated
Jun 21, 2019
License
8624096-4405 (UT)

Practice Information

Address
428 S DURBIN ST STE 103
CASPER, WY, 826012829
Browse WY providers · Browse ZIP 82601
Phone
3072340003
Fax
3072656575
Primary Specialty
Specialist
174400000X

Other Specialist Organizations in CASPER, WY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.