Riverton Physician Practices, LLC

NPI #1417257155 in Riverton, Wyoming

Provider Information

NPI Number: 1417257155
Entity Type: Organization
Organization Name: Riverton Physician Practices, LLC
Primary Specialty: Pediatrics
Enumeration Date: Oct 28, 2010
Last Updated: Oct 28, 2010

Practice Location

Address: 1005 COLLEGE VIEW DR
City: Riverton
State: Wyoming
ZIP Code: 82501-2289
Phone: (307) 857-3488

Authorized Official

Name: JESS N JUDY
Title: PRESIDENT
Phone: (615) 372-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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