MEDICARE: DR. AILEEN ANN WONG 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	237600000X	Audiologist-Hearing Aid Fitter	DA7278	AZ

General Provider Information

NPI Number	:	1891082921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AILEEN ANN WONG AU.D.

Provider Business Mailing Address
First Line	:	7574 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-2307
Country	:	US
Telephone Number	:	520-742-2845
Fax Number	:	520-742-3881

Provider Business Practice Location Address
First Line	:	7355 S HOUGHTON RD STE 105
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85747-9380
Country	:	US
Telephone Number	:	520-742-2845
Fax Number	:	520-742-3881

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

Provider Enumeration Date	:	07/10/2011
Last Update Date	:	12/18/2024

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