Organization
TIMBERLINE HEARING, P.C.
Active
Organization
TIMBERLINE HEARING, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA E. JOHNSON M.A., CCC-A (OWNER/H.A. SPECIALIST/AUDIOLOGIST)
(307) 856-3847
Entity
Organization
Contact information
Practice address
218 N BROADWAY AVE, RIVERTON, WY 82501-3543
(307) 856-3847
(307) 856-7484
Mailing address
218 N BROADWAY AVE, RIVERTON, WY 82501-3543
(307) 856-3847
(307) 856-7484
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
103
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083831317
—
WY
Enumeration date
02/20/2018
Last updated
02/20/2018
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