Draper Dermatology, P.c.

NPI #1942832159 in Evanston, Wyoming

Provider Information

NPI Number: 1942832159
Entity Type: Organization
Organization Name: Draper Dermatology, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: DRAPER DERMATOLOGY
Primary Specialty: Dermatology
Enumeration Date: Feb 5, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 196 ARROWHEAD DR STE 7
City: Evanston
State: Wyoming
ZIP Code: 82930-8752
Phone: (801) 232-6556

Authorized Official

Name: RYAN COOKSEY
Title: PRACTICE ADMINISTRATOR
Phone: (801) 232-6556

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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