| Campbell County Clinics - Neurology & Pain | |
|
501 S Burma Ave 3n-neuro Gillette WY 82716-3426 | |
| (307) 688-3500 | |
| (307) 688-3510 |
| Full Name | Campbell County Clinics - Neurology & Pain |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 501 S Burma Ave 3n-neuro, Gillette, Wyoming |
| Authorized Official Name and Position | William A Fitzgerald (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 3076881520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell County Clinics - Neurology & Pain Po Box 3011 Gillette WY 82717-3011 Ph: (307) 688-3500 | Campbell County Clinics - Neurology & Pain 501 S Burma Ave 3n-neuro Gillette WY 82716-3426 Ph: (307) 688-3500 |
| NPI Number | 1811264732 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811264732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 8793A (Wyoming) | Primary |
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