Jordan Valley Dermatology
Jordan Valley Dermatology is a Specialist in Casper, Wyoming. Licensed in Utah. Registered with an NPI since 2013.
- Licensed in
- UT
- In the registry since
- 2013
Practice location Address checks out
428 S Durbin St Ste 103Casper, WY 82601-2829
Phone: (307) 234-0003
Fax: (307) 265-6575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 8624096-4405 (UT) |
|---|
Record details
| NPI number | 1073954913 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Virginia Tubbs — Owner · (307) 265-2936 |
| Other names | Jordan Valley Dermatology |
| NPI enumerated | July 8, 2013 |
| Last updated in NPPES | June 21, 2019 |
| Mailing address | 428 S Durbin St Ste 103, Casper, WY 82601-2829 |
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