Organization
BLACK ROCK SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK G MURPHY (OWNER)
(307) 358-6200
Entity
Organization
Contact information
Practice address
2901 POWDER BASIN AVE, GILLETTE, WY 82718-6406
(307) 682-6222
(307) 682-6999
Mailing address
PO BOX 688, DOUGLAS, WY 82633-0688
(307) 358-6200
(307) 358-3748
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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