Healthcare Provider Details

I. General information

NPI: 1881015741
Provider Name (Legal Business Name): BILTMORE EAR NOSE AND THROAT, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2013
Last Update Date: 01/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4400 N 32ND ST STE. 220
PHOENIX AZ
85018-3953
US

IV. Provider business mailing address

4400 N 32ND ST STE. 220
PHOENIX AZ
85018-3953
US

V. Phone/Fax

Practice location:
  • Phone: 602-956-1250
  • Fax: 602-956-7466
Mailing address:
  • Phone: 602-956-1250
  • Fax: 602-956-7466

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberDA4099
License Number StateAZ

VIII. Authorized Official

Name: DR. JEFFREY M. TAFFET
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 602-956-1250