Individual
BRENT A CARUTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
600 NW MURRAY RD STE 206, LEES SUMMIT, MO 64081-1227
(816) 554-0640
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(612) 351-1529
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
08/01/2019
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