Individual
JOHN A MALTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6320 N LA CHOLLA BLVD, 200, TUCSON, AZ 85741-3548
(520) 382-8200
(520) 784-6249
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 784-6200
(520) 784-6249
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
21028
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
21028
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116451
—
AZ
Enumeration date
08/03/2005
Last updated
02/10/2014
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