Individual
MRS. DEBORAH SUSAN BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 432-6629
(307) 432-6634
Mailing address
PO BOX 20970, CHEYENNE, WY 82003-7020
(307) 996-4777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7748A
WY
208M00000X
Hospitalist Physician
7748A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306978580
—
WY
Enumeration date
03/12/2007
Last updated
07/05/2021
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