Individual
MILES MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
3140 N GLASSFORD HILL RD STE 103, PRESCOTT VALLEY, AZ 86314-1210
(916) 230-6018
Mailing address
3140 N GLASSFORD HILL RD STE 103, PRESCOTT VALLEY, AZ 86314-1210
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE11714
AZ
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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