| NPI | 1992795629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGGIE D DAVIS Office Manager 308-865-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2008-04-20 |