Organization
SAN RAFAEL HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRADLEY WEAVER (OWNER)
(520) 721-4554
Entity
Organization
Contact information
Practice address
6518 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 721-4554
(888) 422-1773
Mailing address
6518 E CARONDELET DR, TUCSON, AZ 85710-2117
(520) 721-4554
(888) 422-1773
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
HAD1498
AZ
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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