NPI 1063734200

Maxwell Aesthetics PC

Organisation Specialist Tucson, AZ

Practice location

Address: 2490 E River Rd, Tucson, AZ 85718-6522
Phone: (520) 751-1225
Fax: (520) 751-2008

Authorised official

Name: Gwendolyn S Maxwell
Title: President
Phone: (520) 751-1225

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 21869 (AZ)

Other Specialist providers in Arizona →

Specialist

Other Service Providers Taxonomy 174400000X Licence 41438 (AZ)

Registry record

NPI: 1063734200
Entity type: Organization
NPI issued: 15 Feb 2010
Record last updated: 15 Feb 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.