Carlos A. Maitz M.D.

NPI 1043204845 - Specialist - 174400000X

NPI Details
NPI 1043204845
Gender Male
Enumeration Date 09/07/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
12277 DEPAUL DR
SUITE 303 SOUTH
BRIDGETON MO, 63044, US
Phone (314) 291-2614
Fax (314) 291-3591
Business Location
12277 DEPAUL DRIVE
SUITE 303 SOUTH
BRIDGETON MO, 63044, US
Phone (314) 291-2614
Fax (314) 291-3591
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number R9469
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According to our database, Carlos A. Maitz M.D. NPI is 1043204845, taxonomy code is 174400000X and license number is R9469, license state is located at Missouri. Carlos A. Maitz M.D. physically located at 12277 Depaul Dr, Bridgeton MO, 63044. NPI Number Carlos A. Maitz M.D. has the Individual type.

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1043204845 NPI number is provided on an as is basis without warranty of any kind. 1043204845 is maintained by the National Plan & Provider Enumeration System. The contents of Carlos A. Maitz M.D. are for informational purposes only.