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Individual
MATTHEW MAXWELL
Active
Individual
MATTHEW MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
0101258344
VA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD043451
DC
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD444216
PA
Other
Enumeration date
08/06/2009
Last updated
11/06/2023
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