| Ethan James Matthew, MD | |
|
6631 E 2nd St Ste 100, Casper, WY 82609-4355 | |
| (307) 243-1155 | |
| (307) 243-1199 |
| Full Name | Ethan James Matthew |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 6631 E 2nd St Ste 100, Casper, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336889559 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 19102A (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan James Matthew, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Ethan James Matthew, MD 6631 E 2nd St Ste 100, Casper, WY 82609-4355 Ph: (307) 243-1155 |
Rowan E Tichenor, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1119 E 3rd St, Casper, WY 82601 Phone: 307-266-2772 Fax: 307-266-2076 | |
Tyler Lee Quest, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1119 E 3rd St, Casper, WY 82601 Phone: 307-266-2772 Fax: 307-266-2076 | |
Scott D Bennion, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2546 E 2nd St Ste 400, Casper, WY 82609 Phone: 307-234-0003 |