MEDICARE: DR. AARON CRAIG TURGOOSE AU.D.

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	6502486-4101	UT

General Provider Information

NPI Number	:	1689719445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON CRAIG TURGOOSE AU.D.

Provider Business Mailing Address
First Line	:	230 S 500 E
Second Line	:	150
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2015
Country	:	US
Telephone Number	:	801-595-1700
Fax Number	:	801-539-8900

Provider Business Practice Location Address
First Line	:	230 S 500 E
Second Line	:	SUITE 150
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-2015
Country	:	US
Telephone Number	:	801-595-1700
Fax Number	:	801-539-8900

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/27/2010

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