Organization
CARLOS A. MAITZ M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MAITZ (OWNER)
(314) 291-2614
Entity
Organization
Contact information
Practice address
680 CRAIG ROAD, SUITE 303, CREVE COEUR, MO 63141-7144
(314) 291-2614
(314) 291-3591
Mailing address
680 CRAIG ROAD, SUITE 303, CREVE COEUR, MO 63141-7144
(314) 291-2614
(314) 291-3591
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9469
MO
Other
Enumeration date
01/10/2007
Last updated
01/18/2008
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