Individual
ANDREW MAESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 E IOWA ST, HOLBROOK, AZ 86025-2750
(928) 524-3913
Mailing address
500 E IOWA ST, HOLBROOK, AZ 86025-2750
(928) 524-3913
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149585
—
AZ
Enumeration date
08/13/2007
Last updated
12/18/2012
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