Organization
EAR,NOSE,THROAT &ALLERGY ASSOCIATES PS
Active
Other names
Northwest Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL BENNETT MD (OWNER)
(253) 770-4099
Entity
Organization
Contact information
Practice address
104 27TH AVE SE, PUYALLUP, WA 98374-1145
(253) 770-4099
Mailing address
104 27TH AVE SE, PUYALLUP, WA 98374-1145
(253) 770-4099
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9042540
—
WA
Enumeration date
04/18/2007
Last updated
08/22/2020
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