| NPI | 1013486638 |
|---|---|
| Doing Business As | RIVER VALLEY FAMILY CLINIC OF FAYETTEVILLE |
| Entity Type | Organization |
| Authorized Contact | FREDERICK JOSEPH FUOCO Owner 504-495-6772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |