| 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 |
|---|---|
| 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 |
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