Dr. Tomm L Maxon, D.C.
Chiropractor in Watertown, NY. Individual provider (NPI-1).
NPI number1811967201
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1811967201
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tomm L Maxon
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | X003448-1 | NY | Yes |
Practice location
19472 Us Route 11Cani Medical Complex Chiropractic Suite
Watertown, NY 13601-5387
Phone 315-782-0440
Mailing address
19472 Us Route 11Cani Medical Complex Chiropractic Suite
Watertown, NY 13601-5387
Phone 315-782-0440
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