OrganizationActive
Jordan Valley Dermatology
NPI 1073954913 · Specialist · Casper, WY
Provider details
- NPI number
- 1073954913
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Virginia Tubbs, Owner(307) 265-2936
- License
- 8624096-4405 (UT)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
428 S Durbin St Ste 103
Casper, WY 82601-2829
Phone: (307) 234-0003
Fax: (307) 265-6575
Street-level locationGet directions
Mailing address
428 S Durbin St Ste 103
Casper, WY 82601-2829
Other names (DBA / former)
- Former legal business name
- Jordan Valley Dermatology
Registry dates
- Enumerated
- 2013-07-08
- Last updated
- 2019-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.