| NPI | 1184760993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BROOMFIELD Director 307-777-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A947) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WY A971) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |