MEDICARE: CHRISTINE SCOTT 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	231H00000X	Audiologist	DA1667	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	IZ49411	OTHER	AZ	HEATLH NET
2	748577	OTHER	AZ	AHCCCS
4	0629265	OTHER	AZ	AETNA
5	150860	OTHER	AZ	ARIZONA HEAR CARE

General Provider Information

NPI Number	:	1639135130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE SCOTT AUD

Provider Business Mailing Address
First Line	:	3601 S 6TH AVE # 11A-126
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85723-0001
Country	:	US
Telephone Number	:	520-792-1450
Fax Number	:	520-629-4707

Provider Business Practice Location Address
First Line	:	2102 N COUNTRY CLUB RD
Second Line	:	SUITE 12
City	:	TUCSON
State	:	AZ
Zip	:	85716-2831
Country	:	US
Telephone Number	:	520-322-8211
Fax Number	:	520-327-8490

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

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	02/24/2021

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Directions to “ CHRISTINE SCOTT AUD” Practice Location

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