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 |