Organization
AUDIO HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN JAY STEPHENS BC-HIS (HEARING INSTRUMENT SPECIALIST)
(618) 242-1126
Entity
Organization
Contact information
Practice address
1306 BROADWAY ST, MOUNT VERNON, IL 62864-3717
(618) 242-1126
(618) 242-5296
Mailing address
1306 BROADWAY ST, MOUNT VERNON, IL 62864-3717
(618) 242-1126
(618) 242-5296
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
2234
IL
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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