| NPI | 1134419492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN NORTHUP Owner 573-875-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 20088000047) |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |