NPI 1043334261

Randall Wayne Henderson, BCHIS

Practitioner Hearing Instrument Specialist Sun City, AZ

Practice location

Address: 10404 W Coggins Dr Suite 110, Sun City, AZ 85351-3437
Phone: (623) 974-9666
Fax: (623) 974-4813
Mailing address: 2510 E Sunset Rd Unit 5-260, Las Vegas, NV 89120-3511

Registered specialties (2)

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X

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Specialist

Other Service Providers Taxonomy 174400000X Licence 00729 (IA)

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Registry record

NPI: 1043334261
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2007
Record last updated: 18 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.