Organization
MALDONADO MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON JAMES MAXON MALDONADO (PRESIDENT)
(602) 265-0077
Entity
Organization
Contact information
Practice address
19820 N 7TH AVE, SUITE 230, PHOENIX, AZ 85027-4736
(602) 265-0077
(602) 265-1551
Mailing address
19820 N 7TH AVE, SUITE 230, PHOENIX, AZ 85027-4736
(602) 265-0077
(602) 265-1551
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
07674241
AZ
Other
Enumeration date
08/19/2006
Last updated
03/26/2013
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