Organization
THURSTON ENTERPRISE, INC. D.B.A. MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORSON PAUL THURSTON BC-HIS, ACA (AUDIOPROSTHOLOGIST)
(801) 224-9444
Entity
Organization
Contact information
Practice address
682 N 500 W, PROVO, UT 84601-1503
(801) 224-9444
(801) 224-5594
Mailing address
682 N 500 W, PROVO, UT 84601-1503
(801) 224-9444
(801) 224-5594
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
273857-4601
UT
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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