Mr Christian B Anderson, DO | |
Cheyenne Skin Clinic, 123 Western Hills Blvd., Cheyenne, WY 82009-3446 | |
(307) 635-0226 | |
(307) 635-1924 |
Full Name | Mr Christian B Anderson |
---|---|
Gender | Male |
Speciality | Dermatology - Mohs-micrographic Surgery |
Location | Cheyenne Skin Clinic, Cheyenne, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861538860 | NPI | - | NPPES |
7168A | Other | WY | STATE LISCENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 7168A (Wyoming) | Primary |
Entity Name | Cheyenne Skin Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740427509 PECOS PAC ID: 4183772122 Enrollment ID: O20090501000296 |
Mailing Address | Practice Location Address |
---|---|
Mr Christian B Anderson, DO 123 Western Hills Blvd, Cheyenne, WY 82009-3446 Ph: (307) 638-5149 | Mr Christian B Anderson, DO Cheyenne Skin Clinic, 123 Western Hills Blvd., Cheyenne, WY 82009-3446 Ph: (307) 635-0226 |
Krystal J Massey, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 | |
Dr. Julie A Neville, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Dr. Mary O Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Dr. Kathleen A Thomas, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 | |
Larry E Seitz, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2112 Seymour Ave, Cheyenne, WY 82001 Phone: 307-635-8299 Fax: 307-635-6984 | |
Dr. Sandra K Surbrugg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 123 Western Hills Blvd, Cheyenne, WY 82009 Phone: 307-635-0226 Fax: 307-635-1924 |