Organization
ENT HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MOLLY LEROY AUD (OWNER)
(801) 495-4800
Entity
Organization
Contact information
Practice address
756 E 12200 S, DRAPER, UT 84020-9724
(801) 924-2880
(801) 938-9563
Mailing address
8806 S REDWOOD RD, 103, WEST JORDAN, UT 84088-9337
(801) 495-4800
(801) 938-9563
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
6456275-0160
UT
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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