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Organization

UNION PROFESSIONAL HEARING CENTER, LLC

Active
Other names
Professional Hearing Center
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA A MODROSIC M.S., F-AAA (AUDIOLOGIST)
(636) 583-4902
Entity
Organization

Contact information

Practice address
427 JANE AVE, UNION, MO 63084-1907
(636) 583-4902
(636) 583-4925
Mailing address
427 JANE AVE, UNION, MO 63084-1907
(636) 583-4902
(636) 583-4925

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2002021117
MO

Other

Enumeration date
02/17/2010
Last updated
06/04/2015
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