Organization
STANFORDROLAND LTD
Active
Organization
STANFORDROLAND LTD
Active
Other names
Stanford Hearing Aids
Organization subpart
No
Provider details
NPI number
Authorized official
GARY STANFORD M.S.,CCA (OWNER AUDIOLOGIST)
(605) 338-6251
Entity
Organization
Contact information
Practice address
301 W 14TH ST, SIOUX FALLS, SD 57104-6841
(605) 338-6251
(605) 333-0018
Mailing address
301 W 14TH ST, SIOUX FALLS, SD 57104-6841
(605) 338-6251
(605) 333-0018
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077372
WELLMARK BLUE CROSS
SD
05
—
9150560
—
SD
Enumeration date
04/10/2007
Last updated
07/21/2022
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