Individual
BRANDON MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2030 SUTTER PL STE 2000, DAVIS, CA 95616-6216
(916) 451-4400
(916) 731-7955
Mailing address
1201 ALHAMBRA BLVD STE 340, SACRAMENTO, CA 95816-5242
(916) 451-4400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PTL7279
CA
Other
Enumeration date
06/22/2021
Last updated
06/23/2023
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