Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 0649 | AZ |
NPI | 1013078120 |
---|---|
Provider Name | Frank G Maben |
First Address | Chandler, AZ 85224-4226 |
Second Address | Chandler, AZ 85248-5084 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2006 |
Last Update Date | 04/02/2021 |