Organization
AUDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MOORE (OWNER)
(928) 537-3456
Entity
Organization
Contact information
Practice address
2600 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-0511
(928) 537-3456
(928) 537-3469
Mailing address
2600 S WHITE MOUNTAIN RD, SHOW LOW, AZ 85901-0511
(928) 537-3456
(928) 537-3469
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA1918
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HEALTH SERVICES LIC
DA1918
AZ
Enumeration date
07/06/2006
Last updated
03/29/2019
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