| NPI | 1801988084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN JOSEPH KOPERSKI President 307-527-6475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY Audiology Clinic) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WY Audiology Clinic Hea) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2020-08-22 |