Organization
MAXWELL B. MERKOW MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWELL B MERKOW M.D. (OWNER/PRESIDENT)
(925) 309-5155
Entity
Organization
Contact information
Practice address
130 LA CASA VIA BLDG 2#110, WALNUT CREEK, CA 94598-3082
(925) 309-5155
Mailing address
29 ORINDA WAY UNIT 429, ORINDA, CA 94563-6918
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A141272
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A141272
LICENSE NUMBER
CA
Enumeration date
04/26/2017
Last updated
03/17/2018
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