Organization
GREENTREE AUDIOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL W PICKETT AUD,CCC-A/FAAA (AUDIOLOGIST, OWNER)
(314) 835-9996
Entity
Organization
Contact information
Practice address
10900 MANCHESTER RD, STE 202, KIRKWOOD, MO 63122-1200
(314) 835-9996
(314) 835-9992
Mailing address
10900 MANCHESTER RD, STE 202, KIRKWOOD, MO 63122-1200
(314) 835-9996
(314) 835-9992
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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