| NPI | 1205547742 |
|---|---|
| Doing Business As | CAMPBELL COUNTY MEDICAL GROUP - ENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ADAM POPP CFO 307-688-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0602X Otolaryngology Otolaryngic Allergy |
| 231H00000X Audiologist | |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-04-03 |