Organization
ARIZONA EAR NOSE AND THROAT PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEONORA KAZIMIERA TYSIAC (ADMINISTRATOR)
(623) 214-0308
Entity
Organization
Contact information
Practice address
14510 W SHUMWAY DR STE 101, SUN CITY WEST, AZ 85375-5815
(623) 975-1660
(623) 584-4282
Mailing address
14510 W SHUMWAY DR STE 101, SUN CITY WEST, AZ 85375-5815
(623) 975-1660
(623) 584-4282
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
24954
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40016859
RRB
AZ
Enumeration date
01/17/2008
Last updated
01/23/2023
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