Provider Demographics
NPI:1871643254
Name:CVETKO, JAMES A (AUDIOPROSTHOLOGIST)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:A
Last Name:CVETKO
Suffix:
Gender:M
Credentials:AUDIOPROSTHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5809 W MELINDA LN
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85308-6258
Mailing Address - Country:US
Mailing Address - Phone:623-566-3183
Mailing Address - Fax:602-841-9424
Practice Address - Street 1:13631 N 59TH AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1203
Practice Address - Country:US
Practice Address - Phone:602-841-9424
Practice Address - Fax:602-841-3713
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1392237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist