Organization
HEARING AID SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN RUSSELL NBC-HIS (MEMBER)
(573) 766-5206
Entity
Organization
Contact information
Practice address
107 E HIGH ST, POTOSI, MO 63664-1906
(573) 766-5206
(574) 256-0244
Mailing address
PO BOX 65, BELGRADE, MO 63622-0065
(573) 766-5206
(574) 256-0244
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
2013019352
MO
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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