| NPI | 1770683799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY E FRY Co Owner/Specialist 660-665-9114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: MO 0725) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: MO 1080) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-02-26 |