# RENDEZVOUS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366735466
- **Authorized official:** JOHN W MERCER MD (PHYSICIAN OWNER)
- **Authorized official phone:** (307) 856-0382

## Contact information

- **Practice address:** 1035 ROSE LN, SUITE B, RIVERTON, WY 82501-2286
- **Practice address phone:** (307) 856-0382
- **Practice address fax:** (307) 856-0385
- **Mailing address:** 1035 ROSE LN, SUITE B, RIVERTON, WY 82501-2286
- **Mailing address phone:** (307) 856-0382
- **Mailing address fax:** (307) 856-0385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/23/2011
- **Last updated:** 10/10/2012
