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Contact Information

WIND RIVER RADIOLOGY P C
295 GARFIELD ST
LANDER, WY82520-3121
 Phone: 307-335-6451
 Fax: 307-335-6467
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for WIND RIVER RADIOLOGY P C · (Female)

NPI Number 1295959963
Status Active
Credentials
Entity Individual
Enumeration date 04/12/2007
Last updated 01/18/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MT Medicaid 104516
  • MT Medicaid 104550
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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