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Individual

MR. JOSEPH PAUL MAIDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
1998 PRESCOTT LAKES PKWY APT 250, PRESCOTT, AZ 86301-7833
(405) 795-7784
Mailing address
1998 PRESCOTT LAKES PKWY APT 250, PRESCOTT, AZ 86301-7833
(405) 795-7784

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3300
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
901299
AZ
Enumeration date
03/01/2007
Last updated
08/17/2024
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