Individual
PETER MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 BOISE AVE, LOVELAND, CO 80538-5006
(970) 635-4071
(970) 635-4177
Mailing address
PO BOX 173817, DENVER, CO 80217-3817
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
37207
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01372077
—
CO
01
—
930064443
RAILROAD MEDICARE
CO
Enumeration date
07/09/2006
Last updated
07/21/2022
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