Organization
HEARING DOCTORS OF NORTH AMERICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES L GILLUM JR. AU.D. (OWNER)
(785) 537-4005
Entity
Organization
Contact information
Practice address
1213 HYLTON HEIGHTS RD, STE 105, MANHATTAN, KS 66502-2810
(785) 537-4005
(785) 537-0196
Mailing address
1213 HYLTON HEIGHTS RD, STE 105, MANHATTAN, KS 66502-2810
(785) 537-4005
(785) 537-0196
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
939
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227700B
—
KS
Enumeration date
09/03/2008
Last updated
09/15/2008
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