NPI 1104330877

Synergist Monitoring Pro LLC

Organisation Electrodiagnostic Medicine Physician Cheyenne, WY

Practice location

Address: 1910 Thomes Ave, Cheyenne, WY 82001
Phone: (972) 412-5299
Mailing address: PO Box 2928, Portland, OR 97208-2928

Authorised official

Name: Matthew Wavra
Title: Member
Phone: (307) 310-2610

Registered specialties

Electrodiagnostic Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204R00000X

Other Electrodiagnostic Medicine providers in Wyoming →

Registry record

NPI: 1104330877
Entity type: Organization
NPI issued: 16 Nov 2017
Record last updated: 28 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.