Provider Demographics
NPI:1275278764
Name:ALTA VIEW AUDIOLOGY
Entity Type:Organization
Organization Name:ALTA VIEW AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EREK
Authorized Official - Middle Name:ROY
Authorized Official - Last Name:WINNETT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:801-918-1441
Mailing Address - Street 1:13548 S WEAVER CIR
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-1591
Mailing Address - Country:US
Mailing Address - Phone:801-918-1441
Mailing Address - Fax:
Practice Address - Street 1:8522 S 1300 E STE 108
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84094-1312
Practice Address - Country:US
Practice Address - Phone:801-918-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty