Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin John Maynard, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851932230

Justin John Maynard, DO is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1851932230
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESApril 30, 2026
Certification dateApril 30, 2026

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