NPI 1235524455

Edward Gavronski, ATHAS

Practitioner Audiologist-Hearing Aid Fitter Tacoma, WA

Practice location

Address: 4502 S Steele St STE 100, Tacoma, WA 98409-7226
Phone: (253) 475-5587
Fax: (253) 475-5597
Mailing address: 12211 Edgewood Ave SW APT 6, Lakewood, WA 98498-1289

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence 60371050 (WA)

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Registry record

NPI: 1235524455
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2015
Record last updated: 3 Apr 2015

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.