Individual
ROBERT E MAXAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
3831 E CHICO LN, TUCSON, AZ 85739-9726
(520) 549-9685
(520) 549-9685
Mailing address
3831 E CHICO LN, TUCSON, AZ 85739-9726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17-410
AZ
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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