| NPI | 1598998379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELFINO M CONCHA President 319-545-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 482) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IA 759) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 747) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |