Healthcare Provider Details

I. General information

NPI: 1396010849
Provider Name (Legal Business Name): AURALCARE HEARING CENTERS OF AMERICA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2012
Last Update Date: 03/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

999 E PACIFIC DR
AMERICAN FORK UT
84003-3033
US

IV. Provider business mailing address

8941 S 700 E SUITE 204
SANDY UT
84070-2400
US

V. Phone/Fax

Practice location:
  • Phone: 801-849-8497
  • Fax:
Mailing address:
  • Phone: 801-849-8497
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAVID LARSEN
Title or Position: CFO
Credential:
Phone: 801-849-8497