OrganizationActive
Wound Care of Idaho LLC
NPI 1740120583 · Dermatology Physician · Casper, WY
Provider details
- NPI number
- 1740120583
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Wound Care of Wyoming LLC
- Organization subpart
- Yes
- Authorized official
- Christina Laird-Rogers, Ceo(307) 259-9269
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Chronic Care Clinical Nurse Specialist364SC2300X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1129 E 2nd St
Casper, WY 82601-2903
Phone: (307) 296-9399
Fax: (307) 333-0299
Approximate (ZIP-level) locationGet directions
Mailing address
1129 E 2nd St
Casper, WY 82601-2903
Registry dates
- Enumerated
- 2026-03-31
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.