Whalio Doctors

NPI 1073697850

Bruce Nels Eddy, DDS

Practitioner Dentist Casper, WY

Practice location

Address
1650 E 2nd St, Casper, WY 82601
Phone
(307) 237-8435
Fax
(307) 237-2841
Mailing address
8103 Bull Run, Casper, WY 82609

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 550 (WY)

Registry record

NPI
1073697850
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Oct 2006
Record last updated
8 Jul 2007

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.