Organization
ADVANCED AUDIOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDI PETTIS AU.D. (DIRECTOR OF AUDIOLOGY/OWNER)
(803) 549-6077
Entity
Organization
Contact information
Practice address
912 MERAMEC STATION RD STE F, VALLEY PARK, MO 63088-2045
(618) 939-6861
Mailing address
912 MERAMEC STATION RD STE F, VALLEY PARK, MO 63088-2045
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2013008765
MO
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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