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Organization

WIND RIVER PEDIATRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL R FISHER MD (CEO)
(307) 857-5247
Entity
Organization

Contact information

Practice address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5247
(307) 857-5215
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2266
(307) 857-5247
(307) 857-5215

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7224A
WY

Other

Enumeration date
06/05/2006
Last updated
08/22/2020
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