Provider Demographics
NPI:1689079832
Name:ARIZONA LISTENING CENTER
Entity Type:Organization
Organization Name:ARIZONA LISTENING CENTER
Other - Org Name:ARIZONA HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:SYMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-307-9919
Mailing Address - Street 1:2627 N. 3RD ST.
Mailing Address - Street 2:STE. 100
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85004
Mailing Address - Country:US
Mailing Address - Phone:602-277-4327
Mailing Address - Fax:602-307-5905
Practice Address - Street 1:2627 N. 3RD ST.
Practice Address - Street 2:STE. 100
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85004
Practice Address - Country:US
Practice Address - Phone:602-277-4327
Practice Address - Fax:602-307-5905
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA LISTENING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ81330Medicare PIN