| NPI | 1700902376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD S VAN WAGONER President 801-268-6497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: UT 104094-4101) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |