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Organization
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Active
Organization
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURT DUGGER (CFO)
(307) 358-2122
Entity
Organization
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-9216
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-2122
(307) 358-9216
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00946001
BLUE CROSS WY PHYS GROUP
WY
Enumeration date
01/25/2007
Last updated
08/22/2020
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