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Individual

JOHN MAITHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Mailing address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1134461
363A00000X
Physician Assistant
Primary
25MP00780400
NJ

Other

Enumeration date
01/11/2017
Last updated
07/15/2026
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