Individual
BAILEY J HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 336-3503
(605) 336-6010
Mailing address
2315 W 57TH ST, SIOUX FALLS, SD 57108-5046
(605) 336-3503
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1082-A
SD HEARING AID DISPENSERS AND AUDIOLOGISTS
SD
Enumeration date
07/05/2022
Last updated
07/05/2022
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