Organization
MACIAS OTOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID MACIAS M.D. (PRESIDENT)
(602) 257-4228
Entity
Organization
Contact information
Practice address
926 E MCDOWELL RD STE 208, PHOENIX, AZ 85006-2508
(602) 257-4228
(602) 252-6416
Mailing address
926 E MCDOWELL RD STE 208, PHOENIX, AZ 85006-2508
(602) 257-4228
(602) 252-6416
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
22346
AZ
207YX0901X
Otology & Neurotology Physician
Primary
22346
AZ
231H00000X
Audiologist
22346
AZ
Other
Enumeration date
05/08/2008
Last updated
01/08/2021
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