Organization
BILLINGS DERMATOLOGY PC
Active
Parent organization
BILLINGS DERMATOLOGY PC
Other names
Billings Dermatology PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BILLINGS DERMATOLOGY PC
Authorized official
MICHELLE QUALLS (PRACTICE MANAGER)
(406) 294-9515
Entity
Organization
Contact information
Practice address
1106 BIG HORN AVE, WORLAND, WY 82401-2803
(406) 294-9515
Mailing address
1106 BIG HORN AVE, WORLAND, WY 82401-2803
(406) 294-9515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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