Organization
GANNETT PEAK PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT A CAMPBELL MD (PHYSICIAN/OWNER)
(307) 335-4104
Entity
Organization
Contact information
Practice address
745 BUENA VISTA DR, LANDER, WY 82520-3431
(307) 335-4104
(307) 335-4143
Mailing address
745 BUENA VISTA DR, LANDER, WY 82520-3431
(307) 335-4104
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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