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Organization

WIND RIVER RADIOLOGY P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY E MAGNUSON (OFFICE MANAGER)
(307) 332-2357
Entity
Organization

Contact information

Practice address
295 GARFIELD ST, LANDER, WY 82520-3121
(307) 335-6451
(307) 335-6467
Mailing address
295 GARFIELD ST, LANDER, WY 82520-3121
(307) 332-2357
(307) 332-4276

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104516
MT
05
104550
MT
Enumeration date
04/12/2007
Last updated
01/18/2008
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