Organization
BRUCE M HANSEN DO ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE M HANSEN DO (PRESIDENT)
(307) 234-9657
Entity
Organization
Contact information
Practice address
2510 E 15TH ST, SUITE 2, CASPER, WY 82609-4111
(307) 234-9657
(307) 234-0306
Mailing address
2510 E 15TH ST, SUITE 2, CASPER, WY 82609-4111
(307) 234-9657
(307) 234-0306
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
TL#1168
WY
Other
Enumeration date
07/30/2009
Last updated
05/07/2012
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