Individual
DR. SEAN ANTHONY MAIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W WILLIS ST STE 107, PRESCOTT, AZ 86301-3032
(928) 460-2920
Mailing address
PO BOX 4054, PRESCOTT, AZ 86302-4054
(928) 460-2920
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65938
AZ
Other
Enumeration date
06/12/2018
Last updated
03/23/2025
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