| |
125 Main St, Lander, WY 82520-3149 | |
(307) 332-5088 | |
(307) 332-2378 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 125 Main St, Lander, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508052705 | NPI | - | NPPES |
A-901 | Other | WY | STATE OF WYOMING AUDIOLOG |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A-901 (Wyoming) | Primary |
Mailing Address | Practice Location Address |
---|---|
125 Main St, Lander, WY 82520-3149 Ph: (307) 332-5088 | 125 Main St, Lander, WY 82520-3149 Ph: (307) 332-5088 |
Mr. Michael B. Alley, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 125 Main St, Lander, WY 82520 Phone: 307-332-5088 Fax: 307-332-2378 |