Organization
PULTRO & PALMER, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES PALMER AUD. (AUDIOLOGIST)
(479) 968-7250
Entity
Organization
Contact information
Practice address
200 N QUANAH AVE, RUSSELLVILLE, AR 72801-2762
(479) 968-7250
Mailing address
500 S UNIVERSITY AVE, SUITE 405, LITTLE ROCK, AR 72205-5302
(501) 664-5511
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A151
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139752720
—
AR
Enumeration date
06/02/2008
Last updated
06/02/2008
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