SUMMIT OB GYN PC NPI 1942664107

NPI Information

SUMMIT OB GYN PC is a specialist in Gillette, WY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SUMMIT OB GYN PC NPI is 1942664107. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1414 W 4TH ST
GILLETTE, WY
ZIP 82716-328
Phone: (307) 299-4496

The provider's authorized official is Anna Wilson .
The authorized official title is Practice Manager and has the following contact phone number (307) 682-6263.

The CLIA number assigned to this NPI record is 53D2115216 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/13/2016 and was last updated on 3/15/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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