Healthcare Provider Details

I. General information

NPI: 1992834709
Provider Name (Legal Business Name): ARCHES AUDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 S 100 E
MOAB UT
84532-2638
US

IV. Provider business mailing address

16 S 100 E
MOAB UT
84532-2638
US

V. Phone/Fax

Practice location:
  • Phone: 435-259-2508
  • Fax: 435-259-2513
Mailing address:
  • Phone: 435-259-2508
  • Fax: 435-259-2513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number61008144101
License Number StateUT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DAVID WARD
Title or Position: OWNER
Credential: AUD
Phone: 435-259-2508