Organization · Type 2 NPI
Wyco Derm LLC
Clinical & Laboratory Dermatological Immunology Physician · Timnath, CO
Practice location
5451 E. Harmony, Building 2 Unit 109
Timnath, CO 82001-3830
Fax (307) 635-6984
Mailing address
2112 Seymour Ave
Cheyenne, WY 82001-3830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical & Laboratory Dermatological Immunology Physician Primary | 207NI0002X | None listed |
Clinical & Laboratory Dermatological Immunology Physician: A dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases.
About NPI 1306700588
Wyco Derm LLC's National Provider Identifier is 1306700588, issued on Dec 12, 2025. The primary taxonomy on file is Clinical & Laboratory Dermatological Immunology Physician (207NI0002X), and the practice location is in Timnath, CO. The record was last updated on Dec 12, 2025.