Individual
MR. JOHN A MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1987
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025551
KAISER COMMERCIAL NUMBER
CO
01
—
0330710001
DMERC
—
05
—
71822348
—
CO
Enumeration date
07/11/2006
Last updated
06/07/2021
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