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NPI Code Detail

MEDICARE: MEAGHAN H FENN AUD

MEDICARE: MEAGHAN H FENN 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
1231H00000XAudiologistDA10607AZ

General Provider Information

NPI Number : 1679002828
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGHAN H FENN AUD
Provider Business Mailing Address
First Line : 9097 E DESERT COVE AVE STE 200
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-6280
Country : US
Telephone Number : 480-273-8510
Fax Number : 480-214-9933
Provider Business Practice Location Address
First Line : 225 S DOBSON RD
Second Line :
City : CHANDLER
State : AZ
Zip : 85224-6274
Country : US
Telephone Number : 480-558-5306
Fax Number : 480-558-5307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2017
Last Update Date : 06/09/2017

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Directions to “ MEAGHAN H FENN AUD” Practice Location

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