NPI | 1255656971 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH LESSARD Practice Manager 520-498-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA1783) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: AZ DA1783) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |