Individual
DR. SAMUEL BLAKE ECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
204 MCCOLLUM ST STE 106E, LARAMIE, WY 82070-5151
(970) 682-3377
(970) 682-3340
Mailing address
2710 WESTRIDGE CT, FORT COLLINS, CO 80526-6503
(970) 682-3377
(970) 682-3340
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0061328
CO
207N00000X
Dermatology Physician
6858A
WY
Other
Enumeration date
05/14/2013
Last updated
09/27/2021
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