Individual
DR. LINDA KAMIL ABUJABER-AMMARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W 4TH ST, GILLETTE, WY 82716
(307) 686-4900
(307) 682-3466
Mailing address
1300 W 4TH ST, GILLETTE, WY 82716
(307) 686-4900
(307) 682-3466
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5966A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112906600
—
WY
01
—
310654
BLUE CROSS BLUE SHIELD
WY
05
—
7710230
—
SD
05
—
83033277100
—
NE
Enumeration date
11/14/2006
Last updated
02/14/2008
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