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Organization
HKSM MEDICAL LLC
Active
Organization
HKSM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH CALEB MAXWELL MD (CEO)
(602) 663-3830
Entity
Organization
Contact information
Practice address
27407 N 58TH DR, PHOENIX, AZ 85083-1266
(602) 663-3830
Mailing address
27407 N 58TH DR, PHOENIX, AZ 85083-1266
(602) 663-3830
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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