Organization
EAR-CENTRAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OLAN WEBB M.S. (AUDIOLOGIST)
(520) 227-4523
Entity
Organization
Contact information
Practice address
4524 E HEREFORD RD, HEREFORD, AZ 85615-8813
(877) 508-1130
(877) 508-1130
Mailing address
4524 E HEREFORD RD, HEREFORD, AZ 85615-8813
(877) 508-1130
(877) 508-1130
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z177761
MEDICARE P10
—
Enumeration date
02/04/2016
Last updated
02/04/2016
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