Organization · Type 2 NPI

Pilot Butte Dermatology, L.c.

Specialist · Evanston, WY

NPI number 1871733238 Active

Practice location

196 Arrowhead Dr, Suite 5
Evanston, WY 82930-8752

Call (877) 689-0005 Map

Fax (801) 565-7931

Mailing address

3570 W 9000 S, #220
West Jordan, UT 84088-8869

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X8010A (WY)

Specialist: 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.

16 other providers at this address

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About NPI 1871733238

Pilot Butte Dermatology, L.c.'s National Provider Identifier is 1871733238, issued on Feb 25, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, WY. The record was last updated on Mar 25, 2009.