Stacy M Maxwell

NPI #1427208305 in Phoenix, Arizona

Provider Information

NPI Number: 1427208305
Entity Type: Individual
Name: Stacy M Maxwell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Enumeration Date: Sep 26, 2008
Last Updated: Sep 26, 2008

Practice Location

Address: 3201 N 3RD ST
City: Phoenix
State: Arizona
ZIP Code: 85012-2631
Phone: (602) 265-1774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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