Organization
WIND RIVER HEART CLINIC LLC
Active
Other names
Wind River Heart Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN A COURVILLE MD (CARDIOLOGIST)
(307) 206-1071
Entity
Organization
Contact information
Practice address
535 E MAIN ST STE B, LANDER, WY 82520-3410
(307) 206-1171
(307) 206-1133
Mailing address
PO BOX 82298, LAFAYETTE, LA 70598-2298
(337) 288-4895
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
01/13/2021
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