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NPI Code Detail

MEDICARE: MR. DAVID A IVES II MA CCC-A

MEDICARE:  MR. DAVID A IVES II MA  CCC-A
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
1231H00000XAudiologist51724TX
2231H00000XAudiologistAUD-683CO
3237600000XAudiologist-Hearing Aid Fitter51724TX

General Provider Information

NPI Number : 1164660247
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID A IVES II MA CCC-A
Provider Business Mailing Address
First Line : 7586 W JEWELL AVE STE 2-201
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-6890
Country : US
Telephone Number : 303-716-1177
Fax Number : 303-716-0253
Provider Business Practice Location Address
First Line : 7586 W JEWELL AVE STE 2-201
Second Line :
City : LAKEWOOD
State : CO
Zip : 80232-6890
Country : US
Telephone Number : 303-716-1177
Fax Number : 303-716-0253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2009
Last Update Date : 12/21/2022

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Directions to “ MR. DAVID A IVES II MA CCC-A” Practice Location

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