| NPI | 1811493349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL LEE BROADHEAD Owner 520-230-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: AZ BHAD11141) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-03-07 |