Organization
THE HEARING AIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GONZALES IV H.I.S. (DIRECTOR)
(417) 631-2522
Entity
Organization
Contact information
Practice address
1902 W 19TH ST, SUITE A, MOUNTAIN GROVE, MO 65711-1287
(417) 631-2522
Mailing address
4307 FAIR HAVEN DR, NIXA, MO 65714-7339
(417) 631-2522
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2010035283
MO
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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