| NPI | 1881946572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE Audiologist 641-683-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 291, 122) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-12-17 |