| NPI | 1629216189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN CHRISTOPHER NORTHUP Owner/Hearing Instrument Specialist 573-442-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 2008000047) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |