RIVER VALLEY PRIMARY CARE, L.L.C.

SPIRO, OK
NPI1487149043
Entity TypeOrganization
Authorized ContactFREDERICK JOSEPH FUOCO
Sole Member
504-495-6772
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AR  128797)
Additional Taxonomies207Q00000X Family Medicine
(Licence: AR  N-5521)
Enumeration Date2018-06-26
Last Update Date2018-06-26
Business Address
RIVER VALLEY PRIMARY CARE, L.L.C.
107 W BROADWAY ST
SPIRO, OK 74959-2417
Phone number: 479-262-6069
Mailing Address
RIVER VALLEY PRIMARY CARE, L.L.C.
403 GARRISON AVE APT 202
FORT SMITH, AR 72901-1959
Phone number: 504-495-6772
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