Stacy L Blackington AU.D.

NPI 1710069745 - Audiologist-Hearing Aid Fitter - 237600000X

NPI Details
NPI 1710069745
Gender Female
Enumeration Date 10/19/2006
Last Updated 12/30/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
960 E WALNUT LAWN ST
SPRINGFIELD MO, 65807-7506, US
Phone (417) 875-3600
Fax
Business Location
1001 E PRIMROSE ST
SPRINGFIELD MO, 65807-5155, US
Phone (417) 875-3000
Fax
Toxanomy
Taxonomy Code 237600000X
License State Missouri
License Number 2002019898
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According to our database, Stacy L Blackington AU.D. NPI is 1710069745, taxonomy code is 237600000X and license number is 2002019898, license state is located at Missouri. Stacy L Blackington AU.D. physically located at 960 E Walnut Lawn St, Springfield MO, 65807-7506. NPI Number Stacy L Blackington AU.D. has the Individual type.

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1710069745 NPI number is provided on an as is basis without warranty of any kind. 1710069745 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy L Blackington AU.D. are for informational purposes only.