Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Other names
Campbell County Clinics - Neurology & Pain
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM A FITZGERALD (EXECUTIVE VICE PRESIDENT)
(307) 688-1520
Entity
Organization
Contact information
Practice address
501 S BURMA AVE 3N-NEURO, GILLETTE, WY 82716-3426
(307) 688-3500
(307) 688-3510
Mailing address
PO BOX 3011, GILLETTE, WY 82717-3011
(307) 688-3500
(307) 688-3510
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
8793A
WY
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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