NPI 1902087547 · live from the CMS NPI Registry
Dixie Hearing & Balance Center
Audiologist in St George, UT. National Provider Identifier 1902087547, active.
NPI record
| NPI | 1902087547 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1054 East Riverside Dr, Suite 201, St George, UT 84790 |
| Practice phone | 435-688-8991 |
| Enumerated | November 26, 2007 |
| Last updated | March 19, 2012 |
| Authorized official | Richard Luekenga, Owner-President |
| Other names | Cedar Hearing & Balance Center, Desert Valley Hearing & Balance Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 59355224101 (UT) |
| Audiologist primary | 231H00000X | 5935522-4101 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.