River Valley Primary Care, L.l.c.

NPI #1487149043 in Spiro, Oklahoma

Provider Information

NPI Number
1487149043
Entity Type
Organization
Organization Name
River Valley Primary Care, L.l.c.
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Jun 26, 2018
Last Updated
Jun 26, 2018

Practice Location

Address
107 W BROADWAY ST
City
Spiro
ZIP Code
74959-2417
Phone
(479) 262-6069

Authorized Official

Name
DR. FREDERICK JOSEPH FUOCO
Title
SOLE MEMBER
Phone
(504) 495-6772

Specialties & Taxonomy Codes

Specialty
Family Medicine
Nurse Practitioner - FamilyFamily

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