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Individual

DR. HARRY RUSSELL MAXON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2401 INGLESIDE AVE, SUITE 5B, CINCINNATI, OH 45206-4400
(513) 961-1973
Mailing address
13 PAINTED BUNTING RD, HILTON HEAD ISLAND, SC 29928-5601
(843) 363-6680

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.035304
OH
207U00000X
Nuclear Medicine Physician
35.035304
OH

Other

Enumeration date
04/05/2006
Last updated
05/23/2010
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