Organization
HIGH PLAINS AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN M. GACNIK (AUDIOLOGIST/OWNER)
(716) 468-6757
Entity
Organization
Contact information
Practice address
1100 CARSON AVE, LA JUNTA, CO 81050-2751
(719) 383-0147
Mailing address
609 BELLEVIEW AVE, LA JUNTA, CO 81050-2333
(719) 468-6757
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
471
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
471
COLO STATE LICENSE
CO
Enumeration date
03/27/2008
Last updated
05/15/2008
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