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 |