MEDICARE: JOSEPH EVANS DANSIE AUD

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	7722138-4101	UT

General Provider Information

NPI Number	:	1972818185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH EVANS DANSIE AUD

Provider Business Mailing Address
First Line	:	1055 N 300 W
Second Line	:	SUITE 401
City	:	PROVO
State	:	UT
Zip	:	84604-3344
Country	:	US
Telephone Number	:	801-357-7499
Fax Number	:	801-373-5980

Provider Business Practice Location Address
First Line	:	1055 N 300 W
Second Line	:	SUITE 401
City	:	PROVO
State	:	UT
Zip	:	84604-3344
Country	:	US
Telephone Number	:	801-357-7499
Fax Number	:	801-373-5980

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

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	03/31/2026

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