| NPI | 1164934121 |
|---|---|
| Doing Business As | CAMPBELL COUNTY MEDICAL GROUP - GERIATRIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ADAM POPP Chief Financial Officer 307-688-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2024-04-03 |