Organization
SIERRA HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL OLAN WEBB M.S.,CCC-A (MANAGING MEMBER)
(520) 458-3383
Entity
Organization
Contact information
Practice address
1989 FRONTAGE RD, SIERRA VISTA, AZ 85635-4698
(520) 458-3383
(520) 458-9623
Mailing address
1989 FRONTAGE RD, SIERRA VISTA, AZ 85635-4698
(520) 458-3383
(520) 458-9623
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA-193, HAD1694
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419748
—
AZ
Enumeration date
06/11/2006
Last updated
10/19/2007
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