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Organization

CAMPBELL COUNTY HOSPITAL DISTRICT

Active
Parent organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Other names
Campbell County Medical Group-Anesthesiology
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAMPBELL COUNTY HOSPITAL DISTRICT
Authorized official
DALTON HUBER (CFO)
(307) 688-1523
Entity
Organization

Contact information

Practice address
501 S BURMA AVE, GILLETTE, WY 82716-3426
(307) 688-1000
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
11/21/2017
Last updated
03/17/2018
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