Organization
RIVERTON PHYSICIAN PRACTICES LLC
Active
Other names
Wind River Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
2100 W SUNSET DR, RIVERTON, WY 82501-2274
(307) 857-5286
Mailing address
1005 COLLEGE VIEW DR, RIVERTON, WY 82501-2289
(307) 857-5212
(307) 857-5215
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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