| NPI | 1174746853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH L HEGARTY Member Manager 719-667-1327 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: CO 39522) |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2021-05-20 |