NPI
Advanced Dermatology Of Wyoming, Inc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2016-06-21
- Last updated
- 2016-10-06
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 62 South Redmond Street
- City
- Jackson WY
- Postal code
- 83001-8664
- Phone
- (307) 734-5864
Organization contact
- Name
- LINDA CRANDALL
- Title
- Credentialing Coordinator
- Phone
- 9704843050
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Jackson, WY. 810 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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