Camp County Mem Hospital - Physician Group

NPI 1063575611 - Hospitalist - 208M00000X

NPI Details
NPI 1063575611
Enumeration Date 12/18/2006
Last Updated 09/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM A WILLIAM
Position EXECUTIVE VICE PRESIDENT
Phone (307) 688-1415
Fax (307) 688-1420
Practice Location
501 S BURMA AVE
GILLETTE WY, 82716-3426, US
Phone (307) 688-1415
Fax (307) 688-1420
Business Location
501 S BURMA AVE
GILLETTE WY, 82716-3426, US
Phone (307) 688-1415
Fax (307) 688-1420
Toxanomy
Taxonomy Code 208M00000X
License State Wyoming
License Number 08-183
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According to our database, Camp County Mem Hospital - Physician Group NPI is 1063575611, taxonomy code is 208M00000X and license number is 08-183, license state is located at Wyoming. Camp County Mem Hospital - Physician Group physically located at 501 S Burma Ave, Gillette WY, 82716-3426. NPI Number 1033115704 has the healthcare provider type.

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1063575611 NPI number is provided on an as is basis without warranty of any kind. 1063575611 is maintained by the National Plan & Provider Enumeration System. The contents of Camp County Mem Hospital - Physician Group are for informational purposes only.