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Individual

RORY LUTHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
6000 BRIDGER DR, RIVERTON, WY 82501-9203
(307) 851-7122
(307) 332-0131
Mailing address
6000 BRIDGER DRIVE, RIVERTON, WY 82501
(307) 851-7122
(307) 332-0131

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16078
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105726000
WY
Enumeration date
10/15/2014
Last updated
10/15/2014
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