Organization
LAS DAVIS ENTERPRISES INC.
Active
Organization
LAS DAVIS ENTERPRISES INC.
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY DAVIS (PRESIDENT)
(314) 843-7233
Entity
Organization
Contact information
Practice address
4200 N ILLINOIS ST STE D, SWANSEA, IL 62226-7610
(618) 234-7368
Mailing address
5220 S LINDBERGH BLVD, SAINT LOUIS, MO 63126-3519
(314) 843-7233
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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