Pilot Butte Dermatology, L.c.
Pilot Butte Dermatology, L.c. is a Specialist in Evanston, Wyoming. Licensed in Wyoming. Registered with an NPI since 2009.
- Licensed in
- WY
- In the registry since
- 2009
Practice location Address checks out
196 Arrowhead Dr Ste 5Evanston, WY 82930-8752
Phone: (877) 689-0005
Fax: (801) 565-7931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 8010A (WY) |
|---|
Record details
| NPI number | 1871733238 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Douglass Forsha — President · (801) 569-1456 |
| Other names | South Valley Dermatology |
| NPI enumerated | February 25, 2009 |
| Last updated in NPPES | March 25, 2009 |
| Mailing address | 3570 W 9000 S, 220, West Jordan, UT 84088-8869 |
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