Organization
AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES REX SCOTT MS,CCC-A (OWNER)
(801) 364-8692
Entity
Organization
Contact information
Practice address
508 E SOUTH TEMPLE, STE 203, SALT LAKE CITY, UT 84102-1013
(801) 364-8692
(801) 364-0807
Mailing address
508 E SOUTH TEMPLE, STE 203, SALT LAKE CITY, UT 84102-1013
(801) 364-8692
(801) 364-0807
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1000464101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505792
—
NV
01
—
154998
DMBA
UT
01
—
190171900
US DEPT OF LABOR
KY
01
—
4500045
UNITED HEALTH CARE FLEX
TX
01
—
528504184
UNITED MINE WORKERS
CA
01
—
528504184
MAILHANDLERS
KY
01
—
528504184
UNITED MED CHOICE
TX
01
—
528504184
PEHP
UT
05
—
528504184
—
UT
01
—
52850418400001
BCBS OF UTAH
UT
05
—
528504184003
—
UT
05
—
TPRA06318
—
UT
Enumeration date
10/02/2006
Last updated
09/04/2008
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