Provider Demographics
NPI:1710236104
Name:ADVANCED AUDIOLOGY & HEARING AIDS
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY & HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:W
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC-AUDIOLOGY
Authorized Official - Phone:928-344-1556
Mailing Address - Street 1:2450 S 4TH AVENUE SUITE 107
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8573
Mailing Address - Country:US
Mailing Address - Phone:928-344-1556
Mailing Address - Fax:928-317-3093
Practice Address - Street 1:2450 S 4TH AVE STE 107
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8557
Practice Address - Country:US
Practice Address - Phone:928-344-1556
Practice Address - Fax:928-317-3093
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1870231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty