Organization
HEAR FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANE JUSTIN CARD B.C. H.I.S (OWNER/DISPENSER)
(435) 787-8895
Entity
Organization
Contact information
Practice address
1515 N 400 E, SUITE 105, LOGAN, UT 84341-7561
(435) 787-8895
(435) 787-8654
Mailing address
1515 N 400 E, SUITE 105, LOGAN, UT 84341-7561
(435) 787-8895
(435) 787-8654
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
6314898-4601
UT
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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