| NPI | 1366914889 |
|---|---|
| Doing Business As | FREMONT COUNTY PEDIATRICS RIVERTON |
| Entity Type | Organization |
| Authorized Contact | TAMRA MUNSELL Revenue Cycle Manager 307-233-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-07-15 |