Organization
AUDIOLOGY ASSOCIATES OF SALT LAKE CITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES REX SCOTT M.A., CCC-A (OWNER)
(801) 302-8022
Entity
Organization
Contact information
Practice address
10441 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 302-8022
Mailing address
10441 S REDWOOD RD, SOUTH JORDAN, UT 84095-8502
(801) 302-8022
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
100046-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528504184003
—
UT
01
—
52850418401001
BLUE CROSS BLUE SHIELS
UT
Enumeration date
04/06/2007
Last updated
09/04/2008
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