Individual
DR. JESSIE RUTH MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PEDIATRICS NEONATOLOGY MSC10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-0366
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD2015-0615
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/18/2009
Last updated
09/23/2024
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