Riverton Physician Practices LLC

NPI #1083865554 in Riverton, Wyoming

Provider Information

NPI Number: 1083865554
Entity Type: Organization
Organization Name: Riverton Physician Practices LLC
Primary Specialty: Internal Medicine - Medical Oncology
Enumeration Date: Oct 2, 2008
Last Updated: Oct 2, 2008

Practice Location

Address: 1035 ROSE LN
Address 2: SUITE D
City: Riverton
State: Wyoming
ZIP Code: 82501-2286
Phone: (307) 856-4688

Authorized Official

Name: MR. WILLIAM M. GRACEY
Title: COO
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X
Internal Medicine - Medical Oncology — Medical Oncology	207RX0202X	Primary

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