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NPI Code Detail

MEDICARE: DR. ARTHUR THOMAS MAYDELL MD

MEDICARE:  DR. ARTHUR THOMAS MAYDELL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1202K00000XPhlebology Physician57380AZ
22085R0204XVascular & Interventional Radiology PhysicianA143530CA
32085R0204XVascular & Interventional Radiology PhysicianR2168TX
42085R0204XVascular & Interventional Radiology Physician57380AZ

General Provider Information

NPI Number : 1992078745
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ARTHUR THOMAS MAYDELL MD
Provider Business Mailing Address
First Line : 3820 NORTHDALE BLVD STE 201
Second Line :
City : TAMPA
State : FL
Zip : 33624-1893
Country : US
Telephone Number : 800-991-6117
Fax Number : 888-989-8346
Provider Business Practice Location Address
First Line : 1010 E MCDOWELL RD STE 103
Second Line :
City : PHOENIX
State : AZ
Zip : 85006-2607
Country : US
Telephone Number : 480-565-2225
Fax Number : 888-989-8346
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2012
Last Update Date : 02/14/2025

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