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Organization

CAMPBELL COUNTY HOSPITAL DISTRICT

Active
Other names
Campbell County Medical Group - Geriatric Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS ADAM POPP (CHIEF FINANCIAL OFFICER)
(307) 688-1523
Entity
Organization

Contact information

Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-3636
Mailing address
PO BOX 3046, GILLETTE, WY 82717-3046
(307) 688-2600

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary

Other

Enumeration date
10/31/2017
Last updated
04/03/2024
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