Individual
DR. JONATHAN A MAITEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 870-6060
Mailing address
2812 W PRINCEVILLE CT, ANTHEM, AZ 85086-3001
(623) 551-8360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3455
AZ
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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