# WYCO DERM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SEITZ DERMATOLOGY, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306700588
- **Legal business name:** SEITZ DERMATOLOGY, PC
- **Authorized official:** GREGORY SEITZ (OWNER)
- **Authorized official phone:** (307) 635-8299

## Contact information

- **Practice address:** 5451 E. HARMONY, BUILDING 2 UNIT 109, TIMNATH, CO 82001-3830
- **Practice address phone:** (307) 635-8299
- **Practice address fax:** (307) 635-6984
- **Mailing address:** 2112 SEYMOUR AVE, CHEYENNE, WY 82001-3830
- **Mailing address phone:** (307) 635-8299
- **Mailing address fax:** (307) 635-6984

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | — | NULL | Yes |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/12/2025
- **Last updated:** 12/12/2025
