Organization
MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MASON MENELL (OWNER)
(724) 548-1605
Entity
Organization
Contact information
Practice address
159 BUTLER RD, KITTANNING, PA 16201-2328
(724) 548-1605
Mailing address
159 BUTLER RD, KITTANNING, PA 16201-2328
(724) 548-1605
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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