Individual
DR. BETH A MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 LIGONIER ST, LATROBE, PA 15650-1882
(724) 539-8581
(724) 539-2739
Mailing address
520 JEFFERSON AVE, SUITE 400, JEANNETTE, PA 15644-2538
(724) 527-8060
(724) 522-4002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD044079E
PA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD044079E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011723780001
—
PA
01
—
1006787
GATEWAY
PA
01
—
203714
UPMC
PA
01
—
35136
HEALTH AMERICA/HEALTH ASS
PA
01
—
433379
BLUE SHIELD
PA
01
—
64470
THREE RIVERS-MEDPLUS
PA
Enumeration date
07/07/2005
Last updated
01/26/2017
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