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Individual
RICHARD G MAXWELL
Active
Individual
RICHARD G MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
380672-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100501251
—
NV
01
—
1070146632101
IHC
UT
05
—
118872100
—
WY
01
—
2090168
UNITED HEALTHCARE
UT
01
—
38067212001001
BCBS
UT
01
—
75172
PEHP
UT
05
—
806442900
—
ID
05
—
820169
—
AZ
01
—
8221004
DESERET MUTUAL
UT
01
—
870545614MA4
EDUCATORS MUTUAL
UT
01
—
QM0000075886
ALTIUS
UT
01
—
TPRA07189
MOLINA
UT
Enumeration date
09/01/2006
Last updated
10/15/2012
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