| NPI | 1841408416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY K ARCHIE Finance Manager 307-322-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A931) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: WY A960) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |