Organization
WIND RIVER HEARING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTA CARTRITE KOMRS M.S.,CCC/A (AUDIOLOGIST)
(307) 332-0284
Entity
Organization
Contact information
Practice address
269 GARFIELD ST, LANDER, WY 82520-3121
(307) 332-0284
(307) 332-6334
Mailing address
269 GARFIELD ST, LANDER, WY 82520-3121
(307) 332-0284
(307) 332-6334
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
A964
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311403
BCBS
WY
Enumeration date
10/18/2007
Last updated
10/18/2007
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