NPI 1215976253

Wind River Pediatrics, LLC

Organisation Pediatrics Physician Riverton, WY

Practice location

Address: 1005 College View Dr, Riverton, WY 82501-2266
Phone: (307) 857-5247
Fax: (307) 857-5215

Authorised official

Name: Michael R Fisher
Title: Ceo
Phone: (307) 857-5247

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 7224A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1215976253
Entity type: Organization
NPI issued: 5 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.