Organization
FREMONT RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE LAWRENCE (OFFICE MANAGER)
(307) 856-6530
Entity
Organization
Contact information
Practice address
1001 W MAIN ST, RIVERTON, WY 82501-3230
(307) 856-6530
Mailing address
1001 W MAIN ST, RIVERTON, WY 82501-3230
(307) 856-6530
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
03/09/2007
Last updated
11/13/2007
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