NPI 1316101405

Campbell County Hospital District,

Organisation Otolaryngology Physician Gillette, WY

Practice location

Address: 501 S Burma Ave, Gillette, WY 82716-3426
Phone: (307) 688-3636
Fax: (307) 688-3640
Mailing address: 1405 W 4th St, Gillette, WY 82716-3327

Authorised official

Name: William Andrew Fitzgerald
Title: Executive Vice President
Phone: (307) 688-1520

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Wyoming →

Registry record

NPI: 1316101405
Entity type: Organization
NPI issued: 17 Jul 2008
Record last updated: 17 Mar 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.