| NPI | 1669761490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DEAN BARNUM Member 435-656-8290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: UT 1070894101) |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2011-08-06 |