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Individual

DR. TIMOTHY K MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D

Contact information

Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD.0000733
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025141
KAISER COMMERCIAL NUMBER
CO
05
16077733
CO
Enumeration date
01/23/2015
Last updated
06/17/2021
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