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Organization

CONCHA AUDIOLOGY & REHABILITATION, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DELFINO M CONCHA (PRESIDENT)
(319) 545-7125
Entity
Organization

Contact information

Practice address
207 S HARRISON ST STE 102, MT PLEASANT, IA 52641-2300
(319) 545-7125
(319) 545-7127
Mailing address
207 S HARRISON ST STE 102, MT PLEASANT, IA 52641-2300
(319) 545-7125
(319) 545-7127

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
482
IA
235Z00000X
Speech-Language Pathologist
759
IA
237600000X
Audiologist-Hearing Aid Fitter
747
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
612275800
ACS
Enumeration date
08/27/2009
Last updated
08/27/2009
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