| NPI | 1790010254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D. WEBER Audiologist/Owner 801-627-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WY A-929) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: UT 103949-4101) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |