Organization
WESTERN WYOMING DERMATOLOGY & SURGERY PC
Active
Organization
WESTERN WYOMING DERMATOLOGY & SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN BROOK ANDERSON D.O. (OWNER, PHYSICIAN)
(307) 734-5864
Entity
Organization
Contact information
Practice address
62 REDMOND STREET, JACKSON, WY 83002-7406
(307) 734-5864
(307) 734-5866
Mailing address
P.O. BOX 7406, JACKSON, WY 83002
(307) 734-5864
(307) 734-5866
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
7168A
WY
Other
Enumeration date
01/29/2007
Last updated
02/27/2009
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