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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