NPI 1124280417 · live from the CMS NPI Registry
Prouskeh Bruce Ebrahimpour, M.D.
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery in Casper, WY. National Provider Identifier 1124280417, active.
NPI record
| NPI | 1124280417 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery 207XS0114X |
| Practice location | 6550 E 2nd St, Casper, WY 82609 |
| Practice phone | 307-266-4000 |
| Enumerated | June 27, 2008 |
| Last updated | January 20, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery primary | 207XS0114X | 10548A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.