| |
7475 Tom Sparks Rd, De Soto, MO 63020-5759 | |
(855) 259-9183 | |
(502) 244-2439 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 7475 Tom Sparks Rd, De Soto, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518342245 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | (* (Not Available)) | Primary |
237600000X | Audiologist-hearing Aid Fitter | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
12910 Shelbyville Rd Ste 300, Louisville, KY 40243-2404 Ph: (502) 244-2443 | 7475 Tom Sparks Rd, De Soto, MO 63020-5759 Ph: (855) 259-9183 |
Dalton Jones, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 7475 Tom Sparks Rd, De Soto, MO 63020 Phone: 800-843-7752 Fax: 502-254-4069 |