Organization · NPI-2
Christopher Michael Lowther, MD
Dermatology, MOHS-Micrographic Surgery · Cody, WY
NPI number1447449020
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1447449020
- Entity type
- Organization (NPI-2)
- Legal business name
- Christopher Michael Lowther, MD
- Organization subpart
- No
- Enumeration date
- Oct 18, 2007
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | 5252A | WY | Yes |
| 207R00000X | Internal Medicine | 5252A | WY |
Practice location
802 Gerrans AveCody, WY 82414-4120
Phone 307-587-7000 · Fax 307-587-7009
Mailing address
802 Gerrans AveCody, WY 82414-4120
Phone 307-587-7000 · Fax 307-587-7009
Authorized official
Christopher Michael Lowther
Owner
3075877000
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