Organization
R D OBERMEIER HEARING SERVICES L.L.C.
Active
Other names
Miracle Ear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROGER WILLIAM OBERMEIER (LICENSED HEARING SPECIALIST)
(573) 635-8226
Entity
Organization
Contact information
Practice address
724 W STADIUM BLVD, JEFFERSON CITY, MO 65109-4772
(573) 635-8226
(573) 636-3657
Mailing address
724 W STADIUM BLVD, JEFFERSON CITY, MO 65109-4772
(573) 635-8226
(573) 636-3657
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
001129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43166
MERCY HEALTH PROVIDER #
—
01
—
693841
HEALTHLINK PROVIDER #
—
Enumeration date
04/02/2007
Last updated
08/22/2020
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