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 |