Organization
MID MISSOURI AUDIOLOGY
Active
Other names
Mid Missouri Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LEE GOFFINET M.A., CCC-A (AUDIOLOGIST)
(660) 826-0180
Entity
Organization
Contact information
Practice address
1706 W NINTH STREET, SEDALIA, MO 65301-5239
(660) 826-0180
(660) 826-7812
Mailing address
1706 W NINTH STREET, MID MISSOURI HEARING CENTER, SEDALIA, MO 65301-5239
(660) 826-0180
(660) 826-7812
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30329011
BLUE CROSS BLUE SHIELD OF KC
MO
Enumeration date
09/03/2008
Last updated
09/03/2008
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