Bruce C. Bennett, Md, Llc | |
1020 E 2nd St Suite 100 Casper WY 82601-2946 | |
(307) 265-4343 | |
Not Available |
Full Name | Bruce C. Bennett, Md, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1020 E 2nd St, Casper, Wyoming |
Authorized Official Name and Position | Bruce Bennett (SOLE MEMBER) |
Authorized Official Contact | 3074399088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bruce C. Bennett, Md, Llc 4531 E 23rd St Casper WY 82609-3285 Ph: (307) 439-9088 | Bruce C. Bennett, Md, Llc 1020 E 2nd St Suite 100 Casper WY 82601-2946 Ph: (307) 265-4343 |
NPI Number | 1205117611 |
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Provider Enumeration Date | 08/31/2011 |
Last Update Date | 01/13/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205117611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 7871A (Wyoming) | Primary |
News Archive
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› Verified 6 days ago
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