Organization
MARY DUVAL HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY HELEN DUVAL IA LICENSE #466 (OWNER)
(563) 386-2986
Entity
Organization
Contact information
Practice address
1220 E. 37TH STREET, DAVENPORT, IA 52807-1901
(563) 386-2986
(563) 386-2991
Mailing address
1220 E. 37TH STREET, DAVENPORT, IA 52807-1901
(563) 386-2986
(563) 386-2991
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
466
IA
332B00000X
Durable Medical Equipment & Medical Supplies
466
IA
332S00000X
Hearing Aid Equipment
466
IA
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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