Healthcare Provider Details

I. General information

NPI: 1972821932
Provider Name (Legal Business Name): ZAVOS HEARING AIDS AND AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2010
Last Update Date: 08/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13967 W GRAND AVE #105
SURPRISE AZ
85374-3732
US

IV. Provider business mailing address

5202 E MAIN ST #105
MESA AZ
85205-8038
US

V. Phone/Fax

Practice location:
  • Phone: 623-266-3003
  • Fax: 623-251-6387
Mailing address:
  • Phone: 480-218-1328
  • Fax: 480-218-1330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberDA1919
License Number StateAZ

VIII. Authorized Official

Name: DOUGLAS SCOTT ZAVOS
Title or Position: OWNER
Credential: AU.D.
Phone: 623-512-2609