Individual
LES P HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5300 N ILLINOIS ST, STE 105, FAIRVIEW HEIGHTS, IL 62208-3500
(618) 277-8111
Mailing address
36 HAMPTON VILLAGE PLZ, SAINT LOUIS, MO 63109-2127
(314) 481-6005
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3037
IL
Other
Enumeration date
09/06/2012
Last updated
12/18/2012
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