| NPI | 1154757177 |
|---|---|
| Doing Business As | TRI-STATE OTOLARYNGOLOGY, INC. |
| Entity Type | Organization |
| Authorized Contact | PHILLIP R STEVENS Preseident 304-522-6388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A0066) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |