| NPI | 1174849111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LESSARD Manager 520-498-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |