Kyle Maxum
NPI #1225805211 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1225805211
- Entity Type
- Individual
- Name
- Kyle Maxum
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 8, 2023
- Last Updated
- Nov 12, 2024
Practice Location
- Address
- CORNER OF ROUTE N12 AND N7
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 729-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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