Individual
MAXWELL RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
325 N GIBSON RD APT 1313, HENDERSON, NV 89014-6745
(503) 891-7452
Mailing address
325 N GIBSON RD APT 1313, HENDERSON, NV 89014-6745
(503) 891-7452
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2786
NV
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/26/2022
Last updated
03/23/2023
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