Individual
DR. BRYANT W STOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
211 W 9TH ST, CASPER, WY 82601-3780
(307) 234-2580
(307) 234-6992
Mailing address
211 W 9TH ST, CASPER, WY 82601-3780
(307) 234-2580
(307) 234-6992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D8614
OR
1223E0200X
Endodontics
Primary
1225
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
01
—
943096772
FEDERAL TAX ID
—
Enumeration date
07/01/2006
Last updated
01/04/2013
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