Larry W Wundrow is a Audiologist in Missoula, Montana. Larry W Wundrow practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Larry W Wundrow is 1831233790. The last update date is 2010-07-21.
Larry W Wundrow's current location address is 601 S Orange St, Missoula, Montana. You can contact this provider via phone number 4065491951 and fax number 4065425682. The mailing address for Larry W Wundrow is 601 S Orange St, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry W Wundrow |
|---|---|
| Address | 601 S Orange St, Missoula, Montana |
| Phone Number | 4065491951 |
| Fax Number | 4065425682 |
| Sole Proprietor | N |
| Credentials | MS, AUDIOL |
NPI Number Detail
| NPI Number | 1831233790 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2010-07-21 |
Provider Mailing Address Detail
| Address | 601 S Orange St |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598012611 |
| Phone Number | 4065491951 |
| Fax Number | 4065425682 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | 178 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 569257 | MT | -- | |
| 29108 | MT | BCBBSMT | |
| 531076 | MT | -- | |
| 1831233790 | MT | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Larry W Wundrow by the Centers for Medicare & Medicaid Services (CMS)?
The Larry W Wundrow has been assigned the NPI (National Provider Identifier) 1831233790. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Larry W Wundrow's facilities are situated?
The facilities of Larry W Wundrow are physically located at the following address: 601 S Orange St, Missoula, MT, 598012611.
What is Larry W Wundrow's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry W Wundrow is Audiologist, and the taxonomy code that classifies this field of practice is 231H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1831233790 to Larry W Wundrow?
The Centers for Medicare & Medicaid Services originally issued the 1831233790 to Larry W Wundrow on 2007-02-16.
As of what date was the information pertaining to Larry W Wundrow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry W Wundrow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-07-21.