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Individual

DR. HILDA J MAXWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
167 PROGRESS WAY, HURRICANE, WV 25526-7450
(304) 562-3200
(304) 562-3201
Mailing address
5098 WASHINGTON ST W STE 408, CROSS LANES, WV 25313-1561
(304) 776-5594
(304) 776-3521

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
866 D
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001710665
BLUE CROSS BLUE SHIELD
WV
05
3810028317
WV
01
550753899
TAX ID
WV
Enumeration date
02/23/2007
Last updated
09/13/2024
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