| NPI | 1821375668 |
|---|---|
| Doing Business As | COMMUNITY CLINIC ROGERS AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | KATHY GRISHAM Executive Director 479-751-7417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |