NPI 1568950459

Matthew Wetmore, AUD

Practitioner Audiologist Surprise, AZ

Practice location

Address: 14757 W Mountain View Blvd STE 120, Surprise, AZ 85374-2704
Phone: (623) 227-1924
Fax: (623) 738-3913
Mailing address: 8877 W Union Hills Dr STE 350, Peoria, AZ 85382-3026

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence DA10639 (AZ)

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Registry record

NPI: 1568950459
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Apr 2018
Record last updated: 20 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.