Organization
MIDWEST HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA MOSHER M.S., CCC-A (OWNER/AUDIOLOGIST)
(314) 729-1326
Entity
Organization
Contact information
Practice address
11627 GRAVOIS RD, SAINT LOUIS, MO 63126-3013
(314) 729-1326
Mailing address
11627 GRAVOIS RD, SAINT LOUIS, MO 63126-3013
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
108339
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821038324
NPI
MO
Enumeration date
08/28/2015
Last updated
08/28/2015
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