MEDICARE: MATTHEW MUTTERPERL AUD

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	237600000X	Audiologist-Hearing Aid Fitter	DA14656	AZ

General Provider Information

NPI Number	:	1346922630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MUTTERPERL AUD

Provider Business Mailing Address
First Line	:	3320 N CAMPBELL AVE STE 150
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2398
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3320 N CAMPBELL AVE STE 150
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2398
Country	:	US
Telephone Number	:	520-775-3333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2023
Last Update Date	:	08/07/2023

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Directions to “ MATTHEW MUTTERPERL AUD” Practice Location

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