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Organization

HEAR MONTANA, INC

Active
Other names
Miracle-Ear Center
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN BOLENBAUGH (PRESIDENT)
(406) 543-5690
Entity
Organization

Contact information

Practice address
1511 S RUSSELL ST, MISSOULA, MT 59801-3629
(406) 543-5690
(406) 543-9834
Mailing address
1511 S RUSSELL ST, MISSOULA, MT 59801-3629
(406) 543-5690
(406) 543-9834

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
202
MT
237700000X
Hearing Instrument Specialist
210
MT
237700000X
Hearing Instrument Specialist
Primary
312
MT
237700000X
Hearing Instrument Specialist
321
MT
237700000X
Hearing Instrument Specialist
345
MT
237700000X
Hearing Instrument Specialist
347
MT

Other

Enumeration date
02/09/2009
Last updated
02/09/2009
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