Individual
DR. ADAM S MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2094
(208) 381-1791
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2094
(208) 381-1791
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46043
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808003300
—
ID
Enumeration date
01/24/2006
Last updated
11/02/2009
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