| NPI | 1164107884 |
|---|---|
| Doing Business As | CAMPBELL COUNTY MEDICAL GROUP - VASCULAR CLINIC |
| Entity Type | Organization |
| Authorized Contact | GERARD DENNIS KLEIN COO 307-688-1520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0129X |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |