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Organization

HEARING DIAGNOSTICS CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID COURTLAND CRAIG AUD (OWNER)
(574) 534-4171
Entity
Organization

Contact information

Practice address
1206 COLLEGE AVE, SUITE 1, GOSHEN, IN 46526-4937
(574) 534-4171
Mailing address
1206 COLLEGE AVE, SUITE 1, GOSHEN, IN 46526-4937
(574) 534-4171

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
58000001A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200715220A
EDS-FIRST STEPS
IN
Enumeration date
05/29/2008
Last updated
11/07/2013
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