Organization
ROWAN E TICHENOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROWAN E TICHENOR MD (PRESIDENT)
(307) 266-2772
Entity
Organization
Contact information
Practice address
1119 E 3RD ST, CASPER, WY 82601-2905
(307) 266-2772
(307) 266-2076
Mailing address
1119 E 3RD ST, CASPER, WY 82601-2905
(307) 266-2772
(307) 266-2076
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2634A
WY
207ND0900X
Dermatopathology Physician
2634A
WY
Other
Enumeration date
03/12/2007
Last updated
10/03/2007
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