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Contact Information

BENGT J GRUA, MD
1541 DIAMOND DR
CASPER, WY82601-6247
 Phone: 307-232-6649
 Fax: 307-215-0898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for BENGT J GRUA · (Male)

NPI # 1275093650
Status Active
Credentials MD
Entity Individual
Enumeration date 03/22/2019
Last updated 03/24/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • NH License # 21768
  • WY License # 17238A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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