Organization
HEARING AID CONSULTANTS
Active
Organization
HEARING AID CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEITRA L SPENCER R.N.,BCHIS (HEARING INSTRUMENT SPECIALIST)
(573) 619-8549
Entity
Organization
Contact information
Practice address
315 ELLIS BLVD, SUITE 202, JEFFERSON CITY, MO 65101-7802
(573) 636-6061
(573) 636-2675
Mailing address
315 ELLIS BLVD, SUITE 202, JEFFERSON CITY, MO 65101-7802
(573) 636-6061
(573) 636-2675
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
701
MO
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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