Organization
MAXWELL AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GWENDOLYN S MAXWELL M.D. (PRESIDENT)
(520) 751-1225
Entity
Organization
Contact information
Practice address
2490 E RIVER RD, TUCSON, AZ 85718-6522
(520) 751-1225
(520) 751-2008
Mailing address
2490 E RIVER RD, TUCSON, AZ 85718-6522
(520) 751-1225
(520) 751-2008
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21869
AZ
174400000X
Specialist
41438
AZ
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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