IndividualActive
Rowan Tichenor, MD
NPI 1093713067 · Dermatology Physician · Casper, WY
Provider details
- NPI number
- 1093713067
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2634A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1119 E 3rd St
Casper, WY 82601-2905
Phone: (307) 266-2772
Fax: (307) 266-2076
Approximate (ZIP-level) locationGet directions
Mailing address
1119 E 3rd St
Casper, WY 82601-2905
Registry dates
- Enumerated
- 2005-07-13
- Last updated
- 2014-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.