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NPI Code Detail

MEDICARE: AUDIOLOGICAL SERVICES INC

MEDICARE: AUDIOLOGICAL SERVICES INC
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
1231H00000XAudiologistA138NV

General Provider Information

NPI Number : 1235301441
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIOLOGICAL SERVICES INC
Provider Business Mailing Address
First Line : 1750 S RAINBOW BLVD STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-2949
Country : US
Telephone Number : 702-363-2336
Fax Number : 702-877-3874
Provider Business Practice Location Address
First Line : 1750 S RAINBOW BLVD STE 2
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-2949
Country : US
Telephone Number : 702-363-2336
Fax Number : 702-877-3874
Authorized Official
Title or Position : PRESIDENT
Name : DR. WALTER C OTTO
Credential : PH.D.
Telephone Number : 702-363-2336
Provider Enumeration Date : 03/27/2008
Last Update Date : 03/27/2008

Similar Medicare Providers

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Directions to “AUDIOLOGICAL SERVICES INC ” Practice Location

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