Individual
DOMINGO L MAYNES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-5843
Mailing address
1300 N 12TH ST STE 619, PHOENIX, AZ 85006-2850
(602) 839-5843
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A114617
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
40605
AZ
Other
Enumeration date
05/03/2007
Last updated
02/05/2019
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