Dr. WILSON FULLA BERNALES -- M.D.
Individual Provider (NPI-1)
Active
Family Medicine, Adult Medicine
Provider Information
- NPI Number
1508824467- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 428 S DURBIN ST SUITE 104, CASPER, WY, 826012818
- Phone
- (307) 337-4284
- Fax
- (307) 462-0922
Specialties & Taxonomies
Family Medicine, Adult Medicine
Primary License: DE #C1-0007844
Family Medicine
License: WY #7632A