DR. Glen P. Datres, AU.D.

NPI #1134363971 in Great Barrington, Massachusetts

Provider Information

NPI Number
1134363971
Entity Type
Individual
Name
DR. Glen P. Datres, AU.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist
Credential
AU.D.
Enumeration Date
Apr 23, 2009
Last Updated
Feb 25, 2013

Practice Location

Address
780 S MAIN ST
ZIP Code
01230-2148
Phone
(413) 528-3606

Specialties & Taxonomy Codes

Specialty
Audiologist

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