Organization
ARIZONA STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INGRID MCBRIDE (DIRECTOR OF AUDIOLOGY)
(480) 965-2373
Entity
Organization
Contact information
Practice address
975 S. MYRTLE AVENUE, COOR HALL 2211, TEMPE, AZ 85281
(480) 965-2373
Mailing address
PO BOX 870102, COOR HALL 2211, TEMPE, AZ 85287-0102
(480) 965-2373
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA9693
AZ
Other
Enumeration date
10/16/2015
Last updated
10/30/2015
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