Individual
DR. DONALD K MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-6042
(480) 412-5235
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-6042
(480) 412-5235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
3821
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
3821
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
736788
—
AZ
Enumeration date
12/13/2005
Last updated
09/16/2015
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