Male or Other

John K. Maxwell MD

Diagnostic Radiology Physician in Miami, FL(View on Map)

Full Name

John Kevin Maxwell MD

NPI Number

1194884353

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/06/2006

Licenses

State

Florida

License Number

ME168491

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 114
1611 NW 12TH AVE # 1611

City

Fallon
Miami

State

MT
FL

Postal Code

59326-0114
33136-1005

Country

US
US

Telephone Number

(406) 939-0391
(406) 939-0391

Identifiers

Identifier

12076
22500
A001 A002
59823

Identifier State

ND
ND
ND
MT

Identifier Issuer

Unknown
BLUE SHIELD
TRICARE WPS
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/14/2024

Provider Address

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