Wind River Pediatrics, LLC

NPI #1215976253 in Riverton, Wyoming

Provider Information

NPI Number: 1215976253
Entity Type: Organization
Organization Name: Wind River Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 5, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1005 COLLEGE VIEW DR
City: Riverton
State: Wyoming
ZIP Code: 82501-2266
Phone: (307) 857-5247

Authorized Official

Name: MICHAEL R FISHER, MD
Title: CEO
Phone: (307) 857-5247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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