MR. Robert Alan Shull, CCC-A

NPI #1891783890 in Wright Patterson Afb, Ohio

Provider Information

NPI Number: 1891783890
Entity Type: Individual
Name: MR. Robert Alan Shull, CCC-A
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Audiologist
Credential: CCC-A
Enumeration Date: Oct 12, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 4881 SUGAR MAPLE DR
Address 2: 88 MDG/SGCXL
City: Wright Patterson Afb
State: Ohio
ZIP Code: 45433-5546
Phone: (937) 257-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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