| NPI | 1376205443 |
|---|---|
| Doing Business As | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | MELISSA DAWN ALLSOPP Insurance 208-310-7127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-06 |