RIVERTON PHYSICIAN PRACTICES LLC NPI 1417257155

NPI Information

  • NPI: 1417257155
  • Provider Name: RIVERTON PHYSICIAN PRACTICES, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Doing Business As: EVERGREEN PEDIATRICS
  • Address: 1005 COLLEGE VIEW DR
    RIVERTON, WY
    ZIP 82501
  • Phone: (307) 857-3488

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NPI Details

RIVERTON PHYSICIAN PRACTICES, LLC is a pediatrics in Riverton, WY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. RIVERTON PHYSICIAN PRACTICES, LLC NPI is 1417257155. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Evergreen Pediatrics.

The provider's business location address is:

1005 COLLEGE VIEW DR
RIVERTON, WY
ZIP 82501-289
Phone: (307) 857-3488
Fax: (307) 857-5215

The provider's authorized official is Jess N Judy .
The authorized official title is President and has the following contact phone number (615) 372-8500.

The enumeration date for this NPI number is 10/28/2010 and was last updated on 10/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

What is NPI?

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This page was last updated on: 3/30/2025

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