NPI 1417257155

Riverton Physician Practices, LLC

Organisation Pediatrics Physician Riverton, WY

Practice location

Address: 1005 College View Dr, Riverton, WY 82501-2289
Phone: (307) 857-3488
Fax: (307) 857-5215

Authorised official

Name: Jess N Judy
Title: President
Phone: (615) 372-8500

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1417257155
Entity type: Organization
NPI issued: 28 Oct 2010
Record last updated: 28 Oct 2010

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.