Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. WILSON FULLA BERNALES, M.D.
ActiveDR. WILSON FULLA BERNALES, M.D. is a Adolescent Medicine healthcare provider located in CASPER, Wyoming. NPI 1508824467 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · CASPER, WY
Registration Details
- NPI Number
- 1508824467
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2006 (20.265827503669 yrs)
- Last Updated
- Dec 8, 2016
- Licenses
-
C1-0007844 (DE)7632A (WY)
Practice Information
- Address
-
428 S DURBIN STSUITE 104CASPER, WY, 826012818Browse WY providers · Browse ZIP 82601
- Phone
- 3073374284
- Fax
- 3074620922
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Family Medicine
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.