Organization
ABC PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KAMIL ABUJABER AMMARI MD (DOCTOR OWNER)
(307) 686-4900
Entity
Organization
Contact information
Practice address
1300 W 4TH ST, GILLETTE, WY 82716-3339
(307) 686-4900
(307) 682-3466
Mailing address
1300 W 4TH ST, GILLETTE, WY 82716-3339
(307) 686-4900
(307) 682-3466
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
5966A
WY
Other
Enumeration date
06/28/2007
Last updated
08/22/2020
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