Organization
FOUR STATES HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G ANTHONY JR. AUD (AUDIOLOGIST/OWNER)
(417) 392-0816
Entity
Organization
Contact information
Practice address
1617 W 26TH ST STE B, JOPLIN, MO 64804-0394
(417) 553-2003
Mailing address
1617 W 26TH ST STE B, JOPLIN, MO 64804-0394
(417) 553-2003
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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