Organization
RANDY E WADDELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY E WADDELL (OWNER)
(307) 765-2998
Entity
Organization
Contact information
Practice address
426 GREYBULL AVE, GREYBULL, WY 82426-2037
(307) 765-2998
(307) 765-2614
Mailing address
426 GREYBULL AVE, GREYBULL, WY 82426-2037
(307) 765-2998
(307) 765-2614
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
133T
WY
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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