Individual
PHILLIP G MAIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1704 NORTH RD SE, WARREN, OH 44484-2958
(330) 758-4515
(330) 758-5121
Mailing address
PO BOX 5384, YOUNGSTOWN, OH 44514-0384
(330) 758-4515
(330) 758-5121
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35063252M
OH
Other
Enumeration date
06/23/2005
Last updated
01/14/2009
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