Organization
NATIONAL HEARING AND BALANCE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD ROGERS (OWNER)
(505) 715-3710
Entity
Organization
Contact information
Practice address
6709 ACADEMY RD NE STE B, ALBUQUERQUE, NM 87109-3363
(505) 217-0912
(505) 217-0913
Mailing address
PO BOX 15042, RIO RANCHO, NM 87174-0042
(505) 207-7550
(505) 207-7559
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
889418
GROUP MEDICARE
NM
05
—
889418
—
NM
Enumeration date
07/29/2019
Last updated
03/04/2021
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