| NPI | 1578511036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA S ELLIOTT Office Manager 307-577-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2011-07-15 |