Organization
REM NEUROMONITORING MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY B MAXON MALDONADO (MANAGER)
(602) 369-8112
Entity
Organization
Contact information
Practice address
19820 N 7TH AVE STE 230T, PHOENIX, AZ 85027-4785
(602) 369-8112
Mailing address
19820 N 7TH AVE STE 230T, PHOENIX, AZ 85027-4785
(602) 369-8112
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/21/2022
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