Individual
DAVID NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1333 W 5TH ST, SHERIDAN, WY 82801-2752
(512) 569-3696
Mailing address
1333 W 5TH ST STE 110, SHERIDAN, WY 82801-2752
(307) 675-5850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
9222A
WY
Other
Enumeration date
05/13/2010
Last updated
10/20/2025
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