Basic Information
| Provider Information | |||||||||
| NPI: | 1326498965 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MAHER | ||||||||
| FirstName: | ROBERT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 925 E MCDOWELL RD | ||||||||
| Address2: | DEPARTMENT OF SURGERY | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850062502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6028393339 | ||||||||
| FaxNumber: | 6028393300 | ||||||||
| Practice Location | |||||||||
| Address1: | 925 E MCDOWELL RD | ||||||||
| Address2: | DEPARTMENT OF SURGERY | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850062502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6028393339 | ||||||||
| FaxNumber: | 6028393300 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2016 | ||||||||
| LastUpdateDate: | 06/14/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | R75803 | AZ | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.