Organization

Phillip Maiden M.D.

Psychiatry Physician in Warren, OH(View on Map)

Legal Business Name

Phillip Maiden M.D.

NPI Number

1336106459

NPI Type

Organization

Enumeration Date

05/01/2006

Specialties

(Taxonomies)

Code

2084P0800X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

35063252M

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 5384
1704 NORTH RD SE

City

Poland
Warren

State

OH
OH

Postal Code

44514-0384
44484-2958

Country

US
US

Telephone Number

(330) 758-4515
(330) 707-0610

Authorized Official

Name

Phillip Maiden

Title or Position

OWNER

Telephone Number

(330) 758-4515

Identifiers

Identifier

2992047

Identifier State

OH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address

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Organization

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Organization

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