Organization
SYNERGIST MONITORING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WAVRA (MEMBER)
(307) 201-2610
Entity
Organization
Contact information
Practice address
1910 THOMES AVE, CHEYENNE, WY 82001
(425) 890-6239
Mailing address
PO BOX 5367, PORTLAND, OR 97228-5367
(972) 412-5299
(469) 453-3374
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
08/28/2018
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