Organization
RIVERTON ONCOLOGY PRACTICE,LLC
Active
Parent organization
LIFEPOINT HOSPITALS HOLDINGS
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFEPOINT HOSPITALS HOLDINGS
Authorized official
MR. DONALD BIVACCA (PRESIDENT)
(307) 856-4688
Entity
Organization
Contact information
Practice address
1035 ROSE LN, STE D, RIVERTON, WY 82501-2286
(307) 856-4688
(307) 856-1740
Mailing address
PO BOX 758, POST FALLS, ID 83877-0758
(307) 856-4688
(307) 856-1740
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
02/12/2009
Last updated
02/12/2009
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