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Organization
CAMPBELL COUNTY HOSPITAL DISTRICT,
Active
Organization
CAMPBELL COUNTY HOSPITAL DISTRICT,
Active
Other names
Sagebrush ENT
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANDREW FITZGERALD (EXECUTIVE VICE PRESIDENT)
(307) 688-1520
Entity
Organization
Contact information
Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3636
(307) 688-3640
Mailing address
1405 W 4TH ST, GILLETTE, WY 82716-3327
(307) 688-2665
(307) 685-3079
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/17/2008
Last updated
03/17/2011
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