Provider Demographics
NPI:1972821932
Name:ZAVOS HEARING AIDS AND AUDIOLOGY, LLC
Entity type:Organization
Organization Name:ZAVOS HEARING AIDS AND AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ZAVOS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:623-512-2609
Mailing Address - Street 1:5202 E MAIN ST
Mailing Address - Street 2:#105
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-8038
Mailing Address - Country:US
Mailing Address - Phone:480-218-1328
Mailing Address - Fax:480-218-1330
Practice Address - Street 1:13967 W GRAND AVE
Practice Address - Street 2:#105
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-3732
Practice Address - Country:US
Practice Address - Phone:623-266-3003
Practice Address - Fax:623-251-6387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1919237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty