Individual
DR. HAROLD CRAIG MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1102 WEST 32ND STREET, JOPLIN, MO 64804
(417) 347-1111
(417) 347-2149
Mailing address
2102 FAIRWAY DR, JOPLIN, MO 64804-0093
(417) 626-8763
(417) 626-8763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
117870
MO
207P00000X
Emergency Medicine Physician
18504
LA
207P00000X
Emergency Medicine Physician
R-4011
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100084100A
—
OK
05
—
200362940B
—
KS
05
—
204642102
—
MO
05
—
243419306
—
MO
Enumeration date
08/01/2006
Last updated
06/29/2009
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