Organization
SYNERGIST MONITORING PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAVRA (MEMBER)
(307) 310-2610
Entity
Organization
Contact information
Practice address
1910 THOMES AVE, CHEYENNE, WY 82001
(972) 412-5299
Mailing address
PO BOX 2928, PORTLAND, OR 97208-2928
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2017
Last updated
08/28/2018
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