RIVERTON ONCOLOGY PRACTICE,LLC

RIVERTON, WY
NPI1104065200
Entity TypeOrganization
Authorized ContactDONALD BIVACCA
President
307-856-4688
Organization Subpart ?Yes
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
Enumeration Date2009-02-12
Last Update Date2009-02-12
Business Address
RIVERTON ONCOLOGY PRACTICE,LLC
1035 ROSE LN STE D
RIVERTON, WY 82501-2286
Phone number: 307-856-4688
Mailing Address
RIVERTON ONCOLOGY PRACTICE,LLC
PO BOX 758
POST FALLS, ID 83877-0758
Phone number: 307-856-4688