| NPI | 1396143426 |
|---|---|
| Doing Business As | INTERMOUNTAIN AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | JARED MATTHEW BRADER President 435-628-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 6949078-4101) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: UT 7085138-4601) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2022-10-04 |