Search › Wyoming › 207X00000X
David Nickerson, MD
NPI 1871997213 · on the registry since 2014 · sole proprietor
Practice
- Address
- 56 Crown Dr
Big Horn, WY 82833 - Phone
- (307) 674-9875
- Fax
- (307) 678-7393
Registry record
- Primary taxonomy
- 207X00000X
207X00000X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming