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Organization

ADVANCED HEARING CARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHANIE R MOORE AUD (AUDIOLOGIST)
(918) 333-9992
Entity
Organization

Contact information

Practice address
4100 SE ADAMS RD, SUITE C106, BARTLESVILLE, OK 74006-8437
(918) 333-9992
(918) 333-9996
Mailing address
4100 SE ADAMS RD, SUITE C106, BARTLESVILLE, OK 74006-8437
(918) 333-9992
(918) 333-9996

Taxonomy

Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
190
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200095630B
OK
Enumeration date
04/26/2007
Last updated
08/22/2020
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