| NPI | 1710498019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ANDREW PETTIT Audiologist 660-956-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2016026739) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-03-08 |