Individual
DR. WILLIAM ANDREW MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Mailing address
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720-3326
(559) 449-5010
(559) 449-5014
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G35175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G351750
—
CA
01
—
1304310001
CIGNA MEDICARE DMERC
CA
01
—
1304310002
CIGNA MEDICARE DMERC
CA
01
—
1304310003
CIGNA MEDICARE DMERC
CA
01
—
1304310004
CIGNA MEDICARE DMERC
CA
01
—
1304310005
CIGNA MEDICARE DMERC
CA
05
—
GR0078920
—
CA
05
—
GR0078921
—
CA
05
—
GR0078922
—
CA
05
—
GR0078923
—
CA
05
—
GR0078924
—
CA
Enumeration date
04/03/2006
Last updated
08/27/2008
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