| NPI | 1992278824 |
|---|---|
| Doing Business As | MODERN AUDIOLOGY RICHFIELD |
| Entity Type | Organization |
| Authorized Contact | DALE WOODARD President 612-888-3719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2019-01-03 |