Organization
RIVERTON PHYSICIAN PRACTICES, LLC
Active
Other names
Lifepoint Hospitals Holdings, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JONETTA M TRAYLOR (ADMINISTRATOR)
(502) 596-6063
Entity
Organization
Contact information
Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5280
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-5280
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114098100
—
WY
Enumeration date
06/05/2006
Last updated
05/28/2026
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