Individual
DR. STEFAN RANDOLPH MAXWELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 406, CHARLESTON, WV 25302-3302
(304) 388-2238
(304) 388-2243
Mailing address
5 CHATHAM RD, CHARLESTON, WV 25304-2763
(304) 926-6428
(304) 926-8607
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
16172
WV
Other
Enumeration date
05/12/2006
Last updated
07/08/2007
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