Organization
ELKS HEARING AND BALANCE CENTER
Active
Parent organization
IDAHO ELKS REHABILITATION HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO ELKS REHABILITATION HOSPITAL
Authorized official
MR. MICHAEL STURMAK M.S., CCC-A, F-AAA (CHIEF OPERATING MANAGER)
(208) 489-4975
Entity
Organization
Contact information
Practice address
520 S EAGLE RD, SUITE 1225, MERIDIAN, ID 83642-6351
(208) 489-5999
(208) 888-2496
Mailing address
520 S EAGLE RD, SUITE 1225, MERIDIAN, ID 83642-6351
(208) 489-5999
(208) 888-2496
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-2112
ID
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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