Organization
CENTRUM HEARING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JAMES CONLIN (PRESIDENT)
(208) 232-3131
Entity
Organization
Contact information
Practice address
804 YELLOWSTONE AVE, POCATELLO, ID 83201-4415
(208) 232-3131
(208) 233-8351
Mailing address
804 YELLOWSTONE AVE, POCATELLO, ID 83201-4415
(208) 232-3131
(208) 233-8351
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
HA-384
ID
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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