| NPI | 1518268887 |
|---|---|
| Doing Business As | RIVERTON FAMILY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JASON DEE LOVELL Owner 307-856-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WY 7960A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 7960A) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-05-17 |