| NPI | 1326227679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JAMES LARSEN Owner/Audiologist 276-326-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201000378,220100126) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2013-03-04 |