| NPI | 1871964726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BOSCHE Practice Administrator 719-338-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO AUD0000787) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |