institution
Black Rock Surgery Center Llc
Multi-Specialty Clinic/Center in Gillette, Wyoming
NPI 1669039640

Black Rock Surgery Center Llc is a Multi-Specialty Clinic/Center based in Douglas, WY and is specialized in Multi-Specialty. Black Rock Surgery Center Llc practices in Gillette, WY. The NPI Number for Black Rock Surgery Center Llc is 1669039640 and holds a License No. (Wyoming).

The current practice location address for Black Rock Surgery Center Llc is 2901 Powder Basin Ave, Gillette, WY and can be reached out via phone at 307-682-6222 and via fax at 307-682-6999. You can also correspond with Black Rock Surgery Center Llc through the mailing address at PO BOX 688, DOUGLAS, WY - 82633-0688 (mailing address contact number: 307-358-6200).

Location: 2901 Powder Basin Ave, Gillette, WY, 82633-0688
institution
Provider Profile Details
NPI Number
1669039640
Provider Name
Black Rock Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
2901 Powder Basin Ave, Gillette, WY, 82633-0688
Phone Number
307-682-6222
Fax Number
307-682-6999
Provider Enumeration Date
05/24/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2901 Powder Basin Ave
City
State
Zip
82718-6406
Phone Number
307-682-6222
Fax Number
307-682-6999
person
Provider Business Mailing Address Details
Address
2901 Powder Basin Ave
City
State
Zip
82718-6406
Phone Number
307-682-6222
Fax Number
307-682-6999
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
()
Definition
Definition to come...
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