NPI | 1154571826 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE S WORTHAM Audiologist/Owner 307-787-6123 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: WY T197) |
Additional Taxonomies | 231H00000X Audiologist (Licence: WY A933) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2009-06-09 |