| NPI | 1679104004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN G BROYLES Owner/Audiologist 270-776-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |