PILOT BUTTE DERMATOLOGY, L.C.
Medical Practice at Arrowhead Dr, Evanston, WY

License number
Wyoming 8010A
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DOUGLASS W. FORSHA M.D.
Title: PRESIDENT
Phone: (801) 569-1456
Address
Address 2
196 Arrowhead Dr SUITE 5, Evanston, WY 82930
3570 W 9000 S #220, Taylorsville, UT 84088
National Provider ID: 1871733238
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PILOT BUTTE DERMATOLOGY, L.C. at bizstanding.com

Pilot Butte Dermatology, LC

Evanston, WY  -  Casper, WY

Status:
Inactive
Industry:
Medical Doctor's Office, Dermatologist
Doing business as:
Pilot Butte Dermatology
Registration:
Sep 12, 2008
Inactive since:
Nov 10, 2011
Site:
www.pilotbuttedermatology.com
Phone:
(307) 265-2936 (Phone), (877) 689-0005 (Free)
Description:
See website for additional address.
Addresses:
196 Arrowhead Dr #5, Evanston, WY 82930 (Physical)
940 E 3 St, Casper, WY 82601 (Mailing)
State ID:
2008-000560185
Business type:
Limited Liability Company - Domestic
Expiration:
Perpetual
Categories:
Beauticians, Beauty Salons, Dermatology Physicians & Surgeons, ...
Open Hours:
Mon-Thu 8:00 AM-5:00 PM; Fri 8:00 AM-12:00 PM

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