NPI 1114112992 · live from the CMS NPI Registry
Dixie Hearing And Balance Center INC.
Audiologist in Mesquite, NV. National Provider Identifier 1114112992, active.
NPI record
| NPI | 1114112992 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1301 Bertha Howe Ave Ste 6, Mesquite, NV 89027 |
| Practice phone | 435-688-8991 |
| Mailing address | 630 S 400 E Ste 103, St George, UT 84770 |
| Enumerated | September 13, 2007 |
| Last updated | September 13, 2007 |
| Authorized official | Richard Luekenga, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 59355224101 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.