Individual
DR. DANA MICHELE MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
420 ARAPAHOE STREET, THERMOPOLIS, WY 82443-2708
(307) 864-2324
(307) 864-2330
Mailing address
420 ARAPAHOE STREET, THERMOPOLIS, WY 82443-2708
(307) 864-2324
(307) 864-2330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
263T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11504720
—
WY
01
—
263T
STATE LICENSE #
WY
Enumeration date
07/17/2006
Last updated
03/07/2023
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