Individual
DR. PAUL H MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
209 E 1ST ST, #100, ANKENY, IA 50021-1847
(515) 964-4239
(515) 964-8313
Mailing address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 279-2020
(515) 225-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01688
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1191759
—
IA
01
—
45272
BLUE CROSS
IA
Enumeration date
02/14/2006
Last updated
09/16/2013
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