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Individual

DR. JOSHUA BRENT MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8822 S REDWOOD RD STE C211, WEST JORDAN, UT 84088-9340
(801) 563-1975
Mailing address
8822 S REDWOOD RD STE C211, WEST JORDAN, UT 84088-9340
(801) 563-1975

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1153855338905
UT

Other

Enumeration date
06/22/2017
Last updated
08/03/2020
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