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 |