Organization
ADVANCED HEARING CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE RACHEL MOORE AUD (AUDIOLOGIST OWNER)
(918) 333-9992
Entity
Organization
Contact information
Practice address
4100 SE ADAMS RD, SUITE C106, BARTLESVILLE, OK 74006-8437
(918) 333-9992
(918) 333-9996
Mailing address
4100 SE ADAMS RD, SUITE C106, BARTLESVILLE, OK 74006-8437
(918) 333-9992
(918) 333-9996
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
190
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095630A
—
OK
Enumeration date
10/23/2006
Last updated
08/22/2020
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