Individual
BENGT JOSEPHSON GRUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1541 DIAMOND DR, CASPER, WY 82601-6247
(307) 232-6649
(307) 215-0898
Mailing address
1541 DIAMOND DR, CASPER, WY 82601-6247
(307) 232-6649
(307) 215-0898
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21768
NH
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
17238A
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
03/24/2026
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