# MAXWELL MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689070591
- **Authorized official:** HAL B WILSON M.D. (PRESIDENT)
- **Authorized official phone:** (602) 508-8055

## Contact information

- **Practice address:** 11000 N SCOTTSDALE RD, \#225, SCOTTSDALE, AZ 85254-5235
- **Practice address phone:** (602) 508-8055
- **Practice address fax:** (602) 508-8325
- **Mailing address:** 11000 N SCOTTSDALE RD, \#225, SCOTTSDALE, AZ 85254-5235
- **Mailing address phone:** (602) 508-8055
- **Mailing address fax:** (602) 508-8325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 22876 | AZ | Yes |

## Other

- **Enumeration date:** 11/05/2014
- **Last updated:** 11/10/2014
