Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of Wyoming, Inc

Organization Dermatology Physician · NPI 1427408319

Advanced Dermatology of Wyoming, Inc is a Dermatology Physician in Jackson, Wyoming. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 S Redmond St
Jackson, WY 83001-8664
Phone: (307) 734-5864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1427408319
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Crandall — Credentialing Coordinator · (970) 484-3050
NPI enumeratedJune 21, 2016
Last updated in NPPESOctober 6, 2016
Mailing addressPo Box 7406, Jackson, WY 83002-7406

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