Individual
DR. DAVID R. MAXSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 LAIDLEY ST, CHARLESTON, WV 25301-1614
(304) 344-0096
(304) 342-4725
Mailing address
331 LAIDLEY ST, SUITE 606, CHARLESTON, WV 25301-1619
(304) 344-0096
(304) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17732
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0060665000
—
WV
Enumeration date
05/15/2006
Last updated
07/09/2007
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