Organization
CANYON HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN FREDRICK MCCUSKEY BC HIS (CORP PRESIDENT HEARING AID DEALER &)
(208) 466-8809
Entity
Organization
Contact information
Practice address
2509 CALDWELL BLVD, NAMPA, ID 83651-1517
(208) 466-8809
(208) 466-2223
Mailing address
2509 CALDWELL BLVD, NAMPA, ID 83651-1517
(208) 466-8809
(208) 466-2223
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
H29
ID
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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