NPI 1154491579

Bruce Hayse, MD

Practitioner General Practice Physician Jackson, WY

Practice location

Address: 269 West Broadway, Jackson, WY 83001-1884
Phone: (307) 733-6700
Fax: (307) 739-8890
Mailing address: PO Box 1884, Jackson, WY 83001-1884

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 3433A (WY)

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Registry record

NPI: 1154491579
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 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.