Organization
HEARTLAND HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES G SMITH JR. BC-HIS (DISPENSER)
(580) 767-1961
Entity
Organization
Contact information
Practice address
1209 N 7TH ST, PONCA CITY, OK 74601-2843
(580) 767-1961
(580) 767-0749
Mailing address
1209 N 7TH ST, PONCA CITY, OK 74601-2843
(580) 767-1961
(580) 767-0749
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
541
OK
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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