Individual
DR. ANDREA SUZETTE PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
6410 OLD MAIN HL, LOGAN, UT 84322-8704
(435) 797-1374
Mailing address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-1374
(844) 308-5865
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD-3188
IDAHO STATE
ID
Enumeration date
06/01/2017
Last updated
07/19/2021
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