Summit Ob Gyn PC

NPI #1942664107 in Gillette, Wyoming

Provider Information

NPI Number: 1942664107
Entity Type: Organization
Organization Name: Summit Ob Gyn PC
Primary Specialty: Specialist
Enumeration Date: Apr 13, 2016
Last Updated: Mar 15, 2024

Practice Location

Address: 1414 W 4TH ST
City: Gillette
State: Wyoming
ZIP Code: 82716-3328
Phone: (307) 299-4496

Authorized Official

Name: ANNA WILSON
Title: PRACTICE MANAGER
Phone: (307) 682-6263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Obstetrics & Gynecology	207V00000X

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