| NPI | 1174927479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL SQUIRES Audiologist, Co Owner 304-428-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WV 0317-A) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2021-12-30 |