Organization
BALLAS HEARING & AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN M LEW AUD (PRESIDENT/OWNER)
(314) 569-4040
Entity
Organization
Contact information
Practice address
648 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 569-4040
(314) 432-2408
Mailing address
648 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6737
(314) 569-4040
(314) 432-2408
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
408
MO
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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