Individual
PROF. STEPHEN A MAXWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
ARIZONA STATE UNIVERSITY, LATTIE CORR HALL ROOM #2358, TEMPE, AZ 85287-0102
(480) 727-0640
Mailing address
4202 E BROADWAY, UNIT 94, MESA, AZ 85206-1024
(480) 313-5868
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA4789
AZ
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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