Individual
MR. GEORGE BENJAMIN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1430 OLIVE ST, SUITE 400, SAINT LOUIS, MO 63103-2303
(314) 206-3700
Mailing address
1430 OLIVE STREET, SUITE 400, ST. LOUIS, MO 63103-2317
(314) 206-3700
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MO
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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