| NPI | 1285810721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLAN EARL WALTER Owner President 307-635-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A909) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: WY A909) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2011-04-01 |