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NPI Code Detail

MEDICARE: MOORE HEARING, PC

MEDICARE: MOORE HEARING, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistAUD795MT
2231HA2400XAssistive Technology Practitioner AudiologistAUD795MT
3231HA2500XAssistive Technology Supplier AudiologistAUD795MT
4237600000XAudiologist-Hearing Aid FitterHAD4054MT
5237700000XHearing Instrument SpecialistHAD387MT
6237700000XHearing Instrument SpecialistHAD1291MT
7237600000XAudiologist-Hearing Aid FitterAUD795MT

General Provider Information

NPI Number : 1588108286
Entity Type Code : Organization
Provider Name (Legal Business Name) : MOORE HEARING, PC
Provider Business Mailing Address
First Line : 10 THREE MILE DR
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3034
Country : US
Telephone Number : 406-253-6752
Fax Number :
Provider Business Practice Location Address
First Line : 10 THREE MILE DR
Second Line :
City : KALISPELL
State : MT
Zip : 59901-3034
Country : US
Telephone Number : 406-253-6752
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. STACIA MOORE
Credential : AU.D.
Telephone Number : 406-253-6752
Provider Enumeration Date : 12/14/2016
Last Update Date : 12/14/2016

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Directions to “MOORE HEARING, PC ” Practice Location

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