| NPI | 1275875031 |
|---|---|
| Doing Business As | FAIRVIEW SPORTS AND ORTHOPEDIC CARE - WYOMING |
| Entity Type | Organization |
| Authorized Contact | ROBERT ANDREW MCCOY VP Revenue Management 612-672-6594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2020-10-19 |