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
Specialties
(Taxonomies)Name
Code
2085R0202X
2085B0100X
2085D0003X
2085U0001X
2085N0700X
2085P0229X
2085R0204X
Primary Taxonomy
Yes
No
No
No
No
No
No
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