Organization
EDMOND HEARING DOCTORS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR COUROULEAU AU.D. (AUDIOLOGIST/OWNER)
(405) 341-1800
Entity
Organization
Contact information
Practice address
307 E DANFORTH RD, SUITE 118, EDMOND, OK 73034-4483
(405) 341-1800
Mailing address
307 E DANFORTH RD, SUITE 118, EDMOND, OK 73034-4483
(405) 341-1800
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
351
OK
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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