Individual
DR. BRUCE NELS EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1650 E 2ND ST, CASPER, WY 82601
(307) 237-8435
(307) 237-2841
Mailing address
8103 BULL RUN, CASPER, WY 82609
(307) 237-4724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
550
WY
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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