Individual
ROWAN E TICHENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2634A
WY
207ND0900X
Dermatopathology Physician
2634A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070011534
RR MEDICARE
—
05
—
106641200
—
WY
Enumeration date
07/13/2005
Last updated
07/29/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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