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Individual

DR. PROUSKEH BRUCE EBRAHIMPOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6550 E 2ND ST, CASPER, WY 82609-4321
(307) 266-4000
(307) 266-4545
Mailing address
6550 E 2ND ST, CASPER, WY 82609-4321
(307) 266-4000
(307) 266-4545

Taxonomy

Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
10548A
WY

Other

Enumeration date
06/27/2008
Last updated
01/20/2017
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