| NPI | 1164543161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES V DAVIDSON Audiologist 870-862-5339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: AR 42) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AR 229) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |