Organization
BRAD MCMILLIN INC
Active
Other names
BELTONE HEARING AID SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY L MCCUBBINS (ACCOUNTS RECEIVABLE MANAGER)
(618) 242-4920
Entity
Organization
Contact information
Practice address
1147 E GANNON DR, FESTUS, MO 63028-2611
(636) 933-2500
(636) 933-2501
Mailing address
1415 W HIGHWAY 50, O FALLON, IL 62269-1618
(618) 624-4471
(618) 624-4496
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
MO2007004131
MO
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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