East Idaho Audiology LLC

NPI #1447811740 in Rigby, Idaho

Provider Information

NPI Number: 1447811740
Entity Type: Organization
Organization Name: East Idaho Audiology LLC
Primary Specialty: Specialist/Technologist - Audiology Assistant
Enumeration Date: Jun 26, 2019
Last Updated: Jun 26, 2019

Practice Location

Address: 527 RIGBY LAKE DR STE C
City: Rigby
State: Idaho
ZIP Code: 83442-5117
Phone: (208) 522-6335

Authorized Official

Name: RICHARD LEE, MD
Title: OWNER
Phone: (208) 522-6335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Audiology Assistant — Audiology Assistant	2355A2700X	Primary

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