Individual
CARSON ELIZABETH PETTY MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3455 LUTHERAN PKWY STE 100, WHEAT RIDGE, CO 80033-6028
(720) 494-4700
(720) 494-4706
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60242
CO
207RR0500X
Rheumatology Physician
Primary
60242
CO
Other
Enumeration date
05/16/2013
Last updated
04/14/2026
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