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Organization
FARMINGTON HEARING AND BALANCE LLC
Active
Organization
FARMINGTON HEARING AND BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN W ROBERTS D.O. (PRESIDENT)
(573) 756-8888
Entity
Organization
Contact information
Practice address
501 W PINE ST, FARMINGTON, MO 63640-1439
(573) 756-8888
(866) 291-5617
Mailing address
501 W PINE ST, FARMINGTON, MO 63640-1439
(573) 756-8888
(866) 291-5617
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
02/10/2016
Last updated
02/10/2016
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