Black Rock Surgery Center LLC

NPI #1669039640 in Gillette, Wyoming

Provider Information

NPI Number
1669039640
Entity Type
Organization
Organization Name
Black Rock Surgery Center LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 24, 2019
Last Updated
May 24, 2019

Practice Location

Address
2901 POWDER BASIN AVE
State
Wyoming
ZIP Code
82718-6406
Phone
(307) 682-6222

Authorized Official

Name
MR. MARK G MURPHY
Title
OWNER
Phone
(307) 358-6200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Multi-SpecialtyMulti-Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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