Organization
SPRINGFIELD HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE BRETHOWER (CLINIC DIRECTOR)
(417) 881-1010
Entity
Organization
Contact information
Practice address
1200 E WOODHURST DR, SUITE Q-100, SPRINGFIELD, MO 65804-4261
(417) 881-1010
Mailing address
1200 E WOODHURST DR, SUITE Q-100, SPRINGFIELD, MO 65804-4261
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
000421
MO
237700000X
Hearing Instrument Specialist
2008030510
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528040227
—
MO
05
—
1972650901
—
MO
Enumeration date
11/16/2010
Last updated
11/16/2010
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