Individual
MR. WILLIAM ROBERT BRIDEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 GATEWAY BLVD, ROCK SPRINGS, WY 82901-5709
(307) 382-2536
(307) 382-8084
Mailing address
1105 LOUSIANA CIRCLE, GREEN RIVER, WY 82935-8293
(307) 875-4411
(307) 382-8084
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2187
WY
1835G0303X
Geriatric Pharmacist
2187
WY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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