NPI 1669133740

Bernice Hazucha

Practitioner Specialist Casper, WY

Practice location

Address: 1430 Wilkins Cir, Casper, WY 82601-1336
Phone: (307) 439-9219

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1669133740
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Dec 2021
Record last updated: 31 Dec 2021

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.