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Organization
RIVERTON PHYSICIAN PRACTICES LLC
Active
Organization
RIVERTON PHYSICIAN PRACTICES LLC
Active
Other names
Fremont Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESS N JUDY (PRESIDENT)
(615) 372-8508
Entity
Organization
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 857-5280
(307) 857-5215
Mailing address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 857-5280
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
03/29/2011
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