MEDICARE: WEBB HEARING OF THE WEST VALLEY LLC

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
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1265065338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEBB HEARING OF THE WEST VALLEY LLC

Provider Business Mailing Address
First Line	:	14755 W R H JOHNSON BLVD STE 102
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:

Provider Business Practice Location Address
First Line	:	14755 W R H JOHNSON BLVD STE 102
Second Line	:
City	:	SUN CITY WEST
State	:	AZ
Zip	:	85375-6059
Country	:	US
Telephone Number	:	623-214-5885
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROVIDER
Name	:	MR. AARON WEBB
Credential	:	HAD
Telephone Number	:	623-214-5885

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	02/18/2020

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