| NPI | 1043681034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE ANDERSON Hearing Aid Dispenser 623-455-8139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ HAD7607) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-15 |