| NPI | 1194193292 |
|---|---|
| Doing Business As | PENINSULA AUDIOLOGY AND HEARING AIDS |
| Entity Type | Organization |
| Authorized Contact | KEITH D CONDICT President/Audiologist 903-816-2836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60282050) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WA LD60282050) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |