Provider Demographics
NPI:1659834216
Name:CLUFF, ETHAN (HEARING AID DISPENSE)
Entity Type:Individual
Prefix:
First Name:ETHAN
Middle Name:
Last Name:CLUFF
Suffix:
Gender:M
Credentials:HEARING AID DISPENSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14050 N 83RD AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5650
Mailing Address - Country:US
Mailing Address - Phone:480-687-4164
Mailing Address - Fax:
Practice Address - Street 1:7620 E MCKELLIPS RD STE 4-225
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-4600
Practice Address - Country:US
Practice Address - Phone:888-495-4489
Practice Address - Fax:602-865-8090
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter