Organization
PREMIER HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAKIL DAVIS (CREDENTIALING MANAGER)
(505) 821-6715
Entity
Organization
Contact information
Practice address
7920 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6021
(505) 299-4327
(505) 299-4327
Mailing address
7920 WYOMING BLVD NE, SUITE A, ALBUQUERQUE, NM 87109-6021
(505) 821-6715
(505) 821-0839
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2084
NM
Other
Enumeration date
05/14/2007
Last updated
12/22/2014
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