Organization
WYOMING HEARING CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN M ROSS MS CCC-A (OWNER/AUDIOLOGIST)
(307) 632-8224
Entity
Organization
Contact information
Practice address
5320 EDUCATION DR, CHEYENNE, WY 82009-4058
(307) 632-8224
(307) 635-3691
Mailing address
5320 EDUCATION DR, CHEYENNE, WY 82009-4058
(307) 632-8224
(307) 635-3691
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
A-954
WY
Other
Enumeration date
02/29/2008
Last updated
02/29/2008
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