Individual
DANIEL ERIC PENDLEBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
700 E 17TH ST, ATTN: HEARING AID CENTER, IDAHO FALLS, ID 83404-6152
(208) 406-6925
Mailing address
275 MARJACQ AVE, IDAHO FALLS, ID 83401-4016
(208) 406-6925
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD-2632
ID
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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