Arizona Otologic Associates
Specialist in Phoenix, AZ. Organization (NPI-2).
NPI number1114178571
StatusActive
Last updated in NPPESOct 3, 2008
Details
- NPI
- 1114178571
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Otologic Associates
- Organization subpart
- No
- Enumeration date
- Oct 3, 2008
- Last updated
- Oct 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 11391 | AZ | Yes |
Practice location
222 W Thomas RdSuite 114
Phoenix, AZ 85013-4419
Phone 602-279-5444 · Fax 602-279-0188
Mailing address
222 W Thomas RdSuite 114
Phoenix, AZ 85013-4419
Phone 602-279-5444 · Fax 602-279-0188
Authorized official
Charles Phillip Daspit
President
6022795444
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