Organization
PROFESSIONAL HEARING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSIDY K ARCHIE (FINANCE MANAGER)
(307) 322-3332
Entity
Organization
Contact information
Practice address
407 S MEDICAL ARTS CT, SUITE F, GILLETTE, WY 82716-3372
(307) 682-3399
(307) 682-3436
Mailing address
968 GILCHRIST ST, WHEATLAND, WY 82201-2932
(307) 682-3399
(307) 682-3436
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A931
WY
231H00000X
Audiologist
A960
WY
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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