OrganizationActive
Synergist Monitoring Pro LLC
NPI 1104330877 · Electrodiagnostic Medicine Physician · Cheyenne, WY
Provider details
- NPI number
- 1104330877
- Entity type
- Organization
- Primary specialty
- Electrodiagnostic Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Wavra, Member(307) 310-2610
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1910 Thomes Ave
Cheyenne, WY 82001
Phone: (972) 412-5299
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2928
Portland, OR 97208-2928
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2018-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.