MEDICARE: MATTHEW E WESTER 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	DA4871	AZ
2	237600000X	Audiologist-Hearing Aid Fitter	DA4871	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750398244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW E WESTER AUD

Provider Business Mailing Address
First Line	:	1010 E MCDOWELL RD STE 206
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2608
Country	:	US
Telephone Number	:	602-956-1250
Fax Number	:	623-321-8620

Provider Business Practice Location Address
First Line	:	1010 E MCDOWELL RD STE 200
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85006-2608
Country	:	US
Telephone Number	:	602-258-0298
Fax Number	:	602-254-8401

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	03/03/2022

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Directions to “ MATTHEW E WESTER AUD” Practice Location

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