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Pilot Butte Dermatology, L.c.
Specialist in Evanston, Wyoming
NPI 1871733238

Pilot Butte Dermatology, L.c. is a Specialist based in West Jordan, WY. Pilot Butte Dermatology, L.c. practices in Evanston, WY. The NPI Number for Pilot Butte Dermatology, L.c. is 1871733238 and holds a License No. 8010A (Wyoming).

The current practice location address for Pilot Butte Dermatology, L.c. is 196 Arrowhead Dr, Evanston, WY and can be reached out via phone at 877-689-0005 and via fax at 801-565-7931.

Location: 196 Arrowhead Dr, Evanston, WY, 84088-8869
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871733238
Provider Name
Pilot Butte Dermatology, L.c.
Credential
Provider Entity Type
Organization
Address
196 Arrowhead Dr, Evanston, WY, 84088-8869
Phone Number
877-689-0005
Fax Number
801-565-7931
Provider Enumeration Date
02/25/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
506808177021 05 UT
institution
Provider Business Practice Location Address Details
Address
196 Arrowhead Dr
City
Evanston
State
Wyoming
Zip
82930-8752
Phone Number
877-689-0005
Fax Number
801-565-7931
person
Provider Business Mailing Address Details
Address
196 Arrowhead Dr
City
Evanston
State
Wyoming
Zip
82930-8752
Phone Number
877-689-0005
Fax Number
801-565-7931
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
8010A (Wyoming)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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