OrganizationActive
Riverton Oncology Practice,llc
NPI 1104065200 · Hematology & Oncology Physician · Riverton, WY
Provider details
- NPI number
- 1104065200
- Entity type
- Organization
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Lifepoint Hospitals Holdings
- Authorized official
- Donald Bivacca, President
Practice location
1035 Rose Ln
Ste D
Riverton, WY 82501-2286
Phone: (307) 856-4688
Fax: (307) 856-1740
Mailing address
Po Box 758
Post Falls, ID 83877-0758
Registry dates
- Enumerated
- 2009-02-12
- Last updated
- 2009-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.