| NPI | 1558805770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAVID BRADER Managing Member 435-313-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: UT 368331-4101) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: UT 8245946-4601) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2017-09-14 |