Dr. Constance K Maves, MD
Radiology, Pediatric Radiology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1063513596
StatusActive
Last updated in NPPESJun 17, 2008
Details
- NPI
- 1063513596
- Entity type
- Individual (NPI-1)
- Name
- Dr. Constance K Maves
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Jun 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085P0229X | Radiology, Pediatric Radiology | 5010881-1205 | UT | Yes |
Practice location
100 N Medical DrSalt Lake City, UT 84113-1103
Phone 801-662-1900 · Fax 801-662-1810
Mailing address
869 E 4500 SPmb 511
Salt Lake City, UT 84107-3049
Phone 801-487-0451 · Fax 801-487-2467
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