Organization
BRUCE C. BENNETT, MD, LLC
Active
Organization
BRUCE C. BENNETT, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE BENNETT MD (SOLE MEMBER)
(307) 439-9088
Entity
Organization
Contact information
Practice address
1020 E 2ND ST, SUITE 100, CASPER, WY 82601-2946
(307) 265-4343
Mailing address
4531 E 23RD ST, CASPER, WY 82609-3285
(307) 439-9088
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7871A
WY
Other
Enumeration date
08/31/2011
Last updated
01/13/2013
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