Organization · Type 2 NPI

Campbell County Hospital District,

Otolaryngology Physician · Gillette, WY

NPI number 1205547742 Active

Practice location

501 S Burma Ave
Gillette, WY 82716-3426

Call (307) 688-0110 Map

Fax (307) 688-0111

Mailing address

500 Ross St 154-0455, PO Box 392967
Pittsburgh, PA 15251-9967

Specialties and licenses

Taxonomy	Code	License
Otolaryngology Physician Primary	207Y00000X	None listed
Otolaryngic Allergy Physician	207YX0602X	None listed
Audiologist	231H00000X	None listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

141 other providers at this address

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NPI record

NPI: 1205547742
Entity type: Organization (Type 2)
Issued: Dec 6, 2022
Last updated: Apr 3, 2024
Status: Active

Other names

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Campbell County Medical Group - Ent Clinic · doing business as
Campbell County Medical Group - Ent Clinic · doing business as

Authorized official

Douglas Adam Popp
CFO
(307) 688-1523

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205547742

Campbell County Hospital District,'s National Provider Identifier is 1205547742, issued on Dec 6, 2022. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Gillette, WY. The record was last updated on Apr 3, 2024.