Dixie Hearing And Balance Center INC.
Audiologist in Mesquite, NV. Organization (NPI-2).
NPI number1114112992
StatusActive
Last updated in NPPESSep 13, 2007
Details
- NPI
- 1114112992
- Entity type
- Organization (NPI-2)
- Legal business name
- Dixie Hearing And Balance Center INC.
- Organization subpart
- No
- Enumeration date
- Sep 13, 2007
- Last updated
- Sep 13, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 59355224101 | UT | Yes |
Practice location
1301 Bertha Howe Ave Ste 6Mesquite, NV 89027-7503
Phone 435-688-8991 · Fax 435-688-2122
Mailing address
630 S 400 E Ste 103St George, UT 84770-3765
Phone 435-688-8991 · Fax 435-688-2122
Authorized official
Richard Layne Luekenga
President
4356888991
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