Individual
BRIAN DAVID MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 N LINDSAY AVE, OKLAHOMA CITY, OK 73104-5410
(405) 271-4000
Mailing address
1360 E 25TH ST, TULSA, OK 74114-2702
(918) 688-9211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38159
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2020
Last updated
11/27/2021
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