Organization
MEDFORD/GRANTS PASS HEARING CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY W. NOON H.I.S. (OWNER)
(541) 773-7409
Entity
Organization
Contact information
Practice address
712 E JACKSON ST, MEDFORD, OR 97504-6712
(541) 773-7409
(541) 779-0612
Mailing address
712 E JACKSON ST, MEDFORD, OR 97504-6712
(541) 773-7409
(541) 779-0612
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAP-P-10124822
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500626860
—
OR
Enumeration date
03/16/2011
Last updated
03/16/2011
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