MEDICARE: DOUGLAS SCOTT ZAVOS AU.D.

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
1	231H00000X	Audiologist	DA1919	AZ
2	237600000X	Audiologist-Hearing Aid Fitter	DA1919	AZ

General Provider Information

NPI Number	:	1780900894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOUGLAS SCOTT ZAVOS AU.D.

Provider Business Mailing Address
First Line	:	13967 W GRAND AVE
Second Line	:	#105
City	:	SURPRISE
State	:	AZ
Zip	:	85374-3732
Country	:	US
Telephone Number	:	623-266-3003
Fax Number	:	623-572-0237

Provider Business Practice Location Address
First Line	:	13967 W GRAND AVE
Second Line	:	#105
City	:	SURPRISE
State	:	AZ
Zip	:	85374-3732
Country	:	US
Telephone Number	:	623-266-3003
Fax Number	:	623-572-0237

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2010
Last Update Date	:	12/03/2025

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