Organization
RIVERTON PHYSICIAN PRACTICES LLC
Active
Other names
Wind River Orthopedics
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J BIVACCA (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
1005 COLLEGE VIEW DR, SUITE 9, RIVERTON, WY 82501-2266
(370) 857-3488
(370) 857-5215
Mailing address
1005 COLLEGE VIEW DR, SUITE 9, RIVERTON, WY 82501-2266
(370) 857-3488
(370) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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