Organization
PENINSULA HEARING TECH
Active
Other names
Peninsula Audiology and Hearing Aids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH D CONDICT AUD (PRESIDENT/AUDIOLOGIST)
(903) 816-2836
Entity
Organization
Contact information
Practice address
3212 50TH STREET CT NW STE 100, GIG HARBOR, WA 98335-8527
(253) 858-3277
Mailing address
3212 50TH STREET CT NW STE 100, GIG HARBOR, WA 98335-8527
(253) 858-3277
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD60282050
WA
261QH0700X
Hearing and Speech Clinic/Center
LD60282050
WA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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