Organization
AUDIOLOGY ASSOCIATES OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT H PHILLIS II (PARTNER)
(304) 366-2242
Entity
Organization
Contact information
Practice address
1200 COUNTRY CLUB RD, FAIRMONT, WV 26554-2319
(304) 366-2242
Mailing address
1200 COUNTRY CLUB RD, FAIRMONT, WV 26554-2319
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A0048
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU9290181
PIN
WV
Enumeration date
02/26/2007
Last updated
01/12/2011
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