NPI 1013263573 · live from the CMS NPI Registry
Iom Professionals
Audiologist in St George, UT. National Provider Identifier 1013263573, active.
NPI record
| NPI | 1013263573 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1054 E Riverside Dr, Ste 201, St George, UT 84790 |
| Practice phone | 435-688-8991 |
| Enumerated | August 1, 2012 |
| Last updated | August 1, 2012 |
| Authorized official | Kyle Brown, Office Manager |
| Other names | Richard Luekenga |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 5935522-4101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.