Individual
JUSTIN DOMINIC ARTHUR MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4566 E INVERNESS AVE STE 208, MESA, AZ 85206-4634
(480) 993-1300
Mailing address
4614 W KITTY HAWK, CHANDLER, AZ 85226-4612
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
9397
AZ
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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