Organization
PROFESSIONAL HEARING ASSOCIATES LLC
Active
Parent organization
PROFESSIONAL HEARING ASSOCIATES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL HEARING ASSOCIATES LLC
Authorized official
DR. COLDORE JOSEPH HOPPER IV AUD FAAA (DOCTOR OF AUDIOLOGY)
(618) 466-4444
Entity
Organization
Contact information
Practice address
1344 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1685
(618) 466-4444
(618) 466-4444
Mailing address
1344 DADRIAN PROFESSIONAL PARK, GODFREY, IL 62035-1685
(618) 466-4444
(618) 466-4444
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147-000829
IL
Other
Enumeration date
02/06/2018
Last updated
04/27/2018
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