Organization
TRI STATE AUDIOLOGY & VESTIBULAR CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DALE WATERS AUD (OWNER)
(928) 758-3337
Entity
Organization
Contact information
Practice address
1677 QUARTZ CIR, BULLHEAD CITY, AZ 86442-6016
(928) 758-9130
(928) 758-4404
Mailing address
1370 RAMAR RD, SUIE D, BULLHEAD CITY, AZ 86442-7117
(928) 758-3337
(928) 758-4404
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
DA4586
AZ
Other
Enumeration date
05/16/2008
Last updated
05/16/2008
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