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NPI Code Detail

MEDICARE: MR. STEPHEN ROOD DEXTER

MEDICARE: MR. STEPHEN ROOD DEXTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid FitterDA357AZ
2237700000XHearing Instrument Specialist
3231H00000XAudiologist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Z196459OTHERAZMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124287636
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEPHEN ROOD DEXTER
Provider Business Mailing Address
First Line : 6319 W HONEYSUCKLE DR
Second Line :
City : PHOENIX
State : AZ
Zip : 85083-1824
Country : US
Telephone Number : 281-667-6545
Fax Number :
Provider Business Practice Location Address
First Line : 5750 W THUNDERBIRD RD STE F600
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4667
Country : US
Telephone Number : 602-863-4203
Fax Number : 602-863-4216
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 04/24/2024

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Directions to “ MR. STEPHEN ROOD DEXTER ” Practice Location

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