Individual
MR. TEL SKIDMORE BOMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., AUD
Contact information
Practice address
978 CHAMBERS ST, SUITE #1, SOUTH OGDEN, UT 84403-4861
(801) 399-5601
(801) 394-2230
Mailing address
978 CHAMBERS ST, SUITE #1, SOUTH OGDEN, UT 84403-4861
(801) 399-5601
(801) 394-2230
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
106698-4101
UT
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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