Provider Demographics
NPI:1609187996
Name:HARVEY MAKSVYTIS M.D. PLLC
Entity type:Organization
Organization Name:HARVEY MAKSVYTIS M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKSVYTIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-229-3300
Mailing Address - Street 1:PO BOX 546
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85702-0546
Mailing Address - Country:US
Mailing Address - Phone:520-229-3300
Mailing Address - Fax:520-229-3553
Practice Address - Street 1:6261 N LA CHOLLA BLVD
Practice Address - Street 2:SUITE 221
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3565
Practice Address - Country:US
Practice Address - Phone:520-229-3300
Practice Address - Fax:520-229-3553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty