Healthcare Provider Details

I. General information

NPI: 1649987322
Provider Name (Legal Business Name): VULCAN AUDIOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 11/01/2022
Certification Date: 11/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 CANYON RD STE 17
VESTAVIA HILLS AL
35216-1928
US

IV. Provider business mailing address

2017 CANYON RD STE 17
VESTAVIA HILLS AL
35216-1928
US

V. Phone/Fax

Practice location:
  • Phone: 205-482-0991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREW MEYTHALER
Title or Position: MANAGING MEMBER
Credential:
Phone: 205-482-0991