| NPI | 1487322863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYN GERDES Owner 575-642-6257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2024-03-29 |