Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PROUSKEH BRUCE EBRAHIMPOUR, M.D.
ActiveDR. PROUSKEH BRUCE EBRAHIMPOUR, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in CASPER, Wyoming. NPI 1124280417 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · CASPER, WY
Registration Details
- NPI Number
- 1124280417
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2008 (18.177739764352 yrs)
- Last Updated
- Jan 20, 2017
- License
-
10548A (WY)
Practice Information
- Address
-
6550 E 2ND STCASPER, WY, 826094321Browse WY providers · Browse ZIP 82609
- Phone
- 3072664000
- Fax
- 3072664545
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.