Organization
WYCO DERM LLC
Active
Other names
Seitz Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY W SEITZ MD (OWNER)
(307) 635-8299
Entity
Organization
Contact information
Practice address
8305 WELLINGTON BLVD UNIT 102, WELLINGTON, CO 80549-2399
(307) 635-8299
(307) 635-6984
Mailing address
2112 SEYMOUR AVE, CHEYENNE, WY 82001-3830
(307) 635-8299
(307) 635-6984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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