NPI 1124280417

Prouskeh Bruce Ebrahimpour, MD

Practitioner Adult Reconstructive Orthopaedic Surgery Physician Casper, WY

Practice location

Address: 6550 E 2nd St, Casper, WY 82609-4321
Phone: (307) 266-4000
Fax: (307) 266-4545

Registered specialties

Adult Reconstructive Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207XS0114X Licence 10548A (WY)

Other Orthopaedic Surgery providers in Wyoming →

Registry record

NPI: 1124280417
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jun 2008
Record last updated: 20 Jan 2017

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.