Organization
FREMONT RADIOLOGY PC
Active
Other names
Fremont Radiology MRI
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LAWRENCE (OFFICE MANAGER)
(307) 856-6530
Entity
Organization
Contact information
Practice address
2102 W SUNSET DR, RIVERTON, WY 82501
(307) 856-6530
Mailing address
1001 WEST MAIN STREET, RIVERTON, WY 82501
(307) 856-6530
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
FDTC-300
WY
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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