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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