Healthcare Provider Details

I. General information

NPI: 1225330426
Provider Name (Legal Business Name): AZENT HEARING CENTRE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2010
Last Update Date: 11/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13949 W MEEKER BLVD SUITE C
SUN CITY WEST AZ
85375-4436
US

IV. Provider business mailing address

13949 W MEEKER BLVD SUITE C
SUN CITY WEST AZ
85375-4436
US

V. Phone/Fax

Practice location:
  • Phone: 623-975-0879
  • Fax: 623-975-1654
Mailing address:
  • Phone: 623-975-0879
  • Fax: 623-975-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number24954
License Number StateAZ

VIII. Authorized Official

Name: DR. RALPH E BASSETT
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 623-975-1660