Organization
RIVERTON PHYSICIAN PRACTICES LLC
Active
Other names
Wind River Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
JESS N JUDY (PRESIDENT)
(615) 372-8500
Entity
Organization
Contact information
Practice address
2002 W SUNSET DR, SUITE 2, RIVERTON, WY 82501-2283
(370) 856-6600
(370) 856-9601
Mailing address
2002 W SUNSET DR, SUITE 2, RIVERTON, WY 82501-2283
(370) 856-6600
(370) 856-9601
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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