Individual
JUSTIN DUANE LITTLEDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
134 W 1180 N STE 5, TOOELE, UT 84074-1483
(435) 248-2842
(385) 202-0542
Mailing address
506 N COOLEY ST, GRANTSVILLE, UT 84029-9359
(801) 633-5196
(385) 202-0542
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
10297571-4602
UT
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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