Healthcare Provider Details

I. General information

NPI: 1699819797
Provider Name (Legal Business Name): DOBBINS HEARING SERVICE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12801 W BELL RD SUITE 7
SURPRISE AZ
85374-9797
US

IV. Provider business mailing address

12801 W BELL RD SUITE 7
SURPRISE AZ
85374-9797
US

V. Phone/Fax

Practice location:
  • Phone: 623-583-1737
  • Fax: 623-583-0607
Mailing address:
  • Phone: 623-583-1737
  • Fax: 623-583-0607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberDA531
License Number StateAZ

VIII. Authorized Official

Name: DR. EDWARD ANTHONY DOBBINS
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 623-583-1737