Organization
AT HOME HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN THORNLEY (OWNER)
(801) 755-3962
Entity
Organization
Contact information
Practice address
697 W 810 N, WEST BOUNTIFUL, UT 84087-1291
(801) 755-3968
Mailing address
697 W 810 N, WEST BOUNTIFUL, UT 84087-1291
(801) 755-3968
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
352082-4601
UT
332S00000X
Hearing Aid Equipment
6773094-4602
UT
Other
Enumeration date
11/19/2009
Last updated
11/30/2009
Update your record
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