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

Western Wyoming Dermatology & Surgery PC

Organization MOHS-Micrographic Surgery Physician · NPI 1669518668

Western Wyoming Dermatology & Surgery PC is an MOHS-Micrographic Surgery Physician in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2007.

Licensed in
WY
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

62 Redmond St
Jackson, WY 83002-7406
Phone: (307) 734-5864
Fax: (307) 734-5866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 7168A (WY)

Record details

NPI number1669518668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christian Anderson — Owner, Physician · (307) 734-5864
NPI enumeratedJanuary 29, 2007
Last updated in NPPESFebruary 27, 2009
Mailing addressP.O. Box 7406, Jackson, WY 83002

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