Organization
AZENT HEARING CENTRE LLC
Active
Parent organization
ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC
Authorized official
DR. RALPH E BASSETT MD (PHYSICIAN OWNER)
(623) 975-1660
Entity
Organization
Contact information
Practice address
13949 W MEEKER BLVD, SUITE C, SUN CITY WEST, AZ 85375-4436
(623) 975-0879
(623) 975-1654
Mailing address
13949 W MEEKER BLVD, SUITE C, SUN CITY WEST, AZ 85375-4436
(623) 975-0879
(623) 975-1654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24954
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
397564
AHCCCS
AZ
05
—
397564
—
AZ
01
—
40016859
MEDICARE RAILROAD
AZ
01
—
AZ0899410
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/22/2010
Last updated
11/22/2010
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