NPI 1205117611

Bruce C. Bennett, MD, LLC

Organisation Psychiatry Physician Casper, WY

Practice location

Address: 1020 E 2nd St Suite 100, Casper, WY 82601-2946
Phone: (307) 265-4343
Mailing address: 4531 E 23rd St, Casper, WY 82609-3285

Authorised official

Name: Bruce Bennett
Title: Sole Member
Phone: (307) 439-9088

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 7871A (WY)

Other Psychiatry & Neurology providers in Wyoming →

Registry record

NPI: 1205117611
Entity type: Organization
NPI issued: 31 Aug 2011
Record last updated: 13 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.