Organization · Type 2 NPI
Wyco Derm LLC
Medical Specialty Clinic/Center · Wellington, CO
Practice location
8305 Wellington Blvd Unit 102
Wellington, CO 80549-2399
Fax (307) 635-6984
Mailing address
2112 Seymour Ave
Cheyenne, WY 82001-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician | 207N00000X | None listed |
| MOHS-Micrographic Surgery Physician | 207ND0101X | None listed |
| Medical Specialty Clinic/Center Primary | 261QM2500X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Another provider at this address
About NPI 1043085020
Wyco Derm LLC's National Provider Identifier is 1043085020, issued on Nov 20, 2023. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Wellington, CO. The record was last updated on Nov 20, 2023.