Dr. Prouskeh Bruce Ebrahimpour
Adult Reconstructive Orthopaedic Surgeon
6550 E 2nd St
Casper
, Wyoming 82609-4321
Dr. Prouskeh Bruce Ebrahimpour
Adult Reconstructive Orthopaedic Surgeon
6550 E 2nd St
Casper
, Wyoming 82609-4321
(307) 266-4545
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About
Features
Specialties
- Adult Reconstructive Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Prouskeh Bruce Ebrahimpour
- 6550 E 2nd St
- Casper, WY
- Zip : 82609-4321
- Fax : (307) 266-4545
- Phone : (307) 266-4000
Second Address
- Dr. Prouskeh Bruce Ebrahimpour
- 6550 E 2nd St
- Casper, WY
- Zip : 82609-4321
- Fax : (307) 266-4545
- Phone : (307) 266-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 10548A | WY |
National Provider Identifier
| NPI | 1124280417 |
|---|---|
| Provider Name | Dr. Prouskeh Bruce Ebrahimpour |
| First Address | Casper, WY 82609-4321 |
| Second Address | Casper, WY 82609-4321 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/06/2008 |
| Last Update Date | 20/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.