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NPI Code Detail

MEDICARE: DR. MATTHEW WETMORE AUD

MEDICARE:  DR. MATTHEW  WETMORE  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
1231H00000XAudiologistDA10639AZ

General Provider Information

NPI Number : 1568950459
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW WETMORE AUD
Provider Business Mailing Address
First Line : 8877 W UNION HILLS DR STE 350
Second Line :
City : PEORIA
State : AZ
Zip : 85382-3026
Country : US
Telephone Number : 623-428-0727
Fax Number :
Provider Business Practice Location Address
First Line : 14757 W MOUNTAIN VIEW BLVD STE 120
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-2704
Country : US
Telephone Number : 623-227-1924
Fax Number : 623-738-3913
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2018
Last Update Date : 06/20/2024

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Directions to “ DR. MATTHEW WETMORE AUD” Practice Location

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