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 Surgery, Vascular Surgery |
Enumeration Date | 2023-06-20 |
Last Update Date | 2023-06-20 |