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Individual

PAUL M WAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1000
Mailing address
80 E RIO SALADO PKWY, SUITE 703, TEMPE, AZ 85281-9103
(480) 296-6549
(480) 588-8027

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M5575
TX
207R00000X
Internal Medicine Physician
Primary
29186
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
578429
AZ
Enumeration date
03/17/2006
Last updated
12/10/2018
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