Dr. Samuel Blake Ecker
Dermatologist
204 Mccollum St Ste 106e
Laramie
, Wyoming 82070-5151
Dr. Samuel Blake Ecker
Dermatologist
204 Mccollum St Ste 106e
Laramie
, Wyoming 82070-5151
(970) 682-3340
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. Samuel Blake Ecker
- 2710 Westridge Ct
- Fort Collins, CO
- Zip : 80526-6503
- Fax : (970) 682-3340
- Phone : (970) 682-3377
Second Address
- Dr. Samuel Blake Ecker
- 204 Mccollum St Ste 106e
- Laramie, WY
- Zip : 82070-5151
- Fax : (970) 682-3340
- Phone : (970) 682-3377
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 0061328 | CO |
| N | 207N00000X | Dermatologist | 6858A | WY |
National Provider Identifier
| NPI | 1033555230 |
|---|---|
| Provider Name | Dr. Samuel Blake Ecker |
| First Address | Fort Collins, CO 80526-6503 |
| Second Address | Laramie, WY 82070-5151 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2013 |
| Last Update Date | 27/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.