Organization
PAMALA D. MIZE, M.S. CCC-A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMALA DAWN MIZE M.S. (CLINICAL AUDIOLOGIST)
(276) 620-3546
Entity
Organization
Contact information
Practice address
105 WEST PINE ST, #103, WYTHEVILLE, VA 24382-1954
(276) 620-3546
(276) 228-3546
Mailing address
195 W PINE ST, #103, WYTHEVILLE, VA 24382-1954
(276) 620-3546
(276) 228-3546
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000232
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518125
WMWA
VA
01
—
171991
BLUECROSS/BLUESHIELD
VA
Enumeration date
08/21/2007
Last updated
08/21/2007
Update your record
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