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Individual

JOHN DAVID MACIAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 N 9TH ST, SUITE B, PHOENIX, AZ 85006-2523
(602) 257-4228
(602) 252-6416
Mailing address
1515 N 9TH ST, SUITE B, PHOENIX, AZ 85006-2523
(602) 257-4228
(602) 252-6416

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22346
AZ
207YX0901X
Otology & Neurotology Physician
Primary
MD22346
AZ

Other

Enumeration date
10/04/2005
Last updated
08/09/2011
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