NPI | 1760655054 |
---|---|
Former Legal Business Name | WYOMING EYE ASSOCIATES, LLC |
Entity Type | Organization |
Authorized Contact | JASON B WHITMAN President 307-439-0100 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WY 282T) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2022-05-24 |