Individual
MARY JO PETRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCCA FAAA
Contact information
Practice address
721 SHERIDAN AVE, SUITE 150 BIG HORN BASIN HEARING INC, CODY, WY 82414
(307) 527-6475
(307) 527-6483
Mailing address
26 TALON DRIVE, CODY, WY 82414
(307) 587-0343
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AUDIOLOGY A966
WY
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUDIOLOGIST HEARING
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1179837000
—
WY
Enumeration date
09/28/2006
Last updated
09/11/2025
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