Randy E Waddell

NPI #1093983025 in Greybull, Wyoming

Provider Information

NPI Number
1093983025
Entity Type
Organization
Organization Name
Randy E Waddell
Primary Specialty
Optometrist
Enumeration Date
Feb 12, 2008
Last Updated
Feb 12, 2008

Practice Location

Address
426 GREYBULL AVE
State
Wyoming
ZIP Code
82426-2037
Phone
(307) 765-2998

Authorized Official

Name
RANDY E WADDELL
Title
OWNER
Phone
(307) 765-2998

Specialties & Taxonomy Codes

Specialty
Optometrist

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