| NPI | 1659640860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STURMAK Chief Operating Manager 208-489-4975 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ID AUD-2112) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |