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Organization
CAMPBELL COUNTY HOSPITAL DISTRICT,
Active
Organization
CAMPBELL COUNTY HOSPITAL DISTRICT,
Active
Other names
Campbell County Medical Group - ENT Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS ADAM POPP (CFO)
(307) 688-1523
Entity
Organization
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-0110
(307) 688-0111
Mailing address
500 ROSS ST 154-0455, PO BOX 392967, PITTSBURGH, PA 15251-9967
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
—
—
231H00000X
Audiologist
—
—
Other
Enumeration date
12/06/2022
Last updated
04/03/2024
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