Organization · Type 2 NPI

Campbell County Hospital District

Urology Physician · Gillette, WY

NPI number 1932404084 Active

Practice location

501 S Burma Ave - 3S-URO
Gillette, WY 82716-3426

Call (307) 688-3636 Map

Mailing address

PO Box 392967
Pittsburgh, PA 15251-9967

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

NPI record

NPI: 1932404084
Entity type: Organization (Type 2)
Issued: Jan 21, 2011
Last updated: May 10, 2023
Status: Active
Subpart: Yes of Campbell County Memorial Hospital

Other names

<unavail>
CCMH Urology Clinic · doing business as
CCMH Urology Clinic · doing business as

Authorized official

Mr. Gerard A K
COO
(307) 688-1000

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 1932404084

Campbell County Hospital District's National Provider Identifier is 1932404084, issued on Jan 21, 2011. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Gillette, WY. The record was last updated on May 10, 2023.