Healthcare Provider Details

I. General information

NPI: 1770737165
Provider Name (Legal Business Name): PURTONE HEARING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2008
Last Update Date: 11/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20350 N CAVE CREEK RD SUITE 130
PHOENIX AZ
85024-1283
US

IV. Provider business mailing address

20350 N CAVE CREEK RD SUITE 130
PHOENIX AZ
85024-1283
US

V. Phone/Fax

Practice location:
  • Phone: 602-971-3900
  • Fax:
Mailing address:
  • Phone: 602-971-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHAD4599
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHAD4599
License Number StateAZ

VIII. Authorized Official

Name: MR. EDWARD ANTON MAZNIO
Title or Position: PRESIDENT
Credential: HIS
Phone: 623-877-9900