FREMONT RADIOLOGY PC
Ambulatory Health at Sunset Dr, Riverton, WY

License number
Wyoming FDTC-300
Category
Ambulatory Health
Type
Magnetic Resonance Imaging (MRI)
Owner
Name: VALERIE LAWRENCE
Title: OFFICE MANAGER
Phone: (307) 856-6530
Address
Address
2102 W Sunset Dr, Riverton, WY 82501
National Provider ID: 1124207345
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Fremont Radiology

Riverton, WY

Industry:
Medical Practice, Medical Doctor's Office, Radiology
Doing business as:
Fremont Radiology, PC<br>Fremont Radiology, LLC
Registration:
Dec 29, 2000
Phone:
(307) 856-6530 (Phone)
Addresses:
1001 W Main St, Riverton, WY 82501
202 N Broadway Ave, Riverton, WY 82501 (Mailing)
C/O Reddon Koehn And Associates Cpas Pc, Riverton, WY 82501 (Mailing)
State ID:
2000-000412023
Business type:
Profit Corporation - Domestic
Expiration:
Perpetual
Secretarys:
Jim Taylor (President, Diagnostic Radiologist, Medical Doctor),Ruth Mcnamee (Vice-President),Jack Hildner (Physician Assistant),...

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