Lander Valley Medical Center LLC

NPI #1538207584 in Lander, Wyoming

Provider Information

NPI Number: 1538207584
Entity Type: Organization
Organization Name: Lander Valley Medical Center LLC
Primary Specialty: Anesthesiology
Enumeration Date: Feb 2, 2007
Last Updated: Jul 22, 2014

Practice Location

Address: 1320 BISHOP RANDALL DR
City: Lander
State: Wyoming
ZIP Code: 82520-3939
Phone: (307) 332-4420

Authorized Official

Name: DONALD J. BIVACCA
Title: PRESIDENT
Phone: (615) 920-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine - Emergency Medical Services — Emergency Medical Services	207PE0004X
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Surgery	208600000X
Anesthesiology	207L00000X	Primary

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