Organization
RENDEZVOUS MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W MERCER MD (PHYSICIAN OWNER)
(307) 856-0382
Entity
Organization
Contact information
Practice address
1035 ROSE LN, SUITE B, RIVERTON, WY 82501-2286
(307) 856-0382
(307) 856-0385
Mailing address
1035 ROSE LN, SUITE B, RIVERTON, WY 82501-2286
(307) 856-0382
(307) 856-0385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/23/2011
Last updated
10/10/2012
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