Organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Active
Parent organization
CAMPBELL COUNTY HOSPITAL DISTRICT
Other names
Campbell County Medical Group-Complex Medicine/Nephrology
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) 688-1415
(307) 688-1420
Mailing address
501 S BURMA AVE, GILLETTE, WY 82716-3426
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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