Individual
MR. MARK S MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
18700 N 64TH DR, STE 201, GLENDALE, AZ 85308-7109
(623) 566-4718
Mailing address
9097 E DESERT COVE AVE, STE 260, SCOTTSDALE, AZ 85260-6279
(480) 273-8510
(480) 214-9933
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA8304
AZ
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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