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WESTERN WYOMING DERMATOLOGY & SURGERY PC
NPI 1669518668
Dermatology - MOHS-Micrographic Surgery in Jackson, WY

Active since January 29, 2007
62 REDMOND STREET, JACKSON, WY 83002(307) 734-5864(307) 734-5866 Get Directions Write a Review

NPPES record last updated: February 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Western Wyoming Dermatology & Surgery Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESTERN WYOMING DERMATOLOGY & SURGERY PC (NPI 1669518668) is a healthcare organization registered as a mohs-micrographic surgery in Jackson, Wyoming and active in the NPI registry since January 2007. The organization lists Christian Brook Anderson, Owner, Physician, as its authorized official.

NPPES Registry Identity

NPI1669518668
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameWESTERN WYOMING DERMATOLOGY & SURGERY PC
Location Address62 REDMOND STREETJackson, WY 83002-7406
Mailing AddressP.o. Box 7406Jackson, WY 83002 · (307) 734-5864 · Fax (307) 734-5866
Phone(307) 734-5864
Fax(307) 734-5866
Organization SubpartNo
Authorized OfficialChristian Brook AndersonOwner, Physician · (307) 734-5864
Enumeration DateJanuary 29, 2007
Last NPPES UpdateFebruary 27, 2009
✔ NPI 1669518668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in WY · 7168A
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
62 REDMOND STREET, Jackson, WY 83002
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Other Identifiers 1

Medicare ID-Type Unspecified20239WY · Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Western Wyoming Dermatology & Surgery PC's NPI number?

The NPI number for Western Wyoming Dermatology & Surgery PC is 1669518668. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Western Wyoming Dermatology & Surgery PC located?

Western Wyoming Dermatology & Surgery PC is located at 62 Redmond Street, Jackson, WY 83002. The listed phone number is (307) 734-5864.

What is Western Wyoming Dermatology & Surgery PC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Western Wyoming Dermatology & Surgery PC was last updated on February 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.