Individual
DANIEL M MAXFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 BELLEVUE AVE, SUITE 500, SAINT LOUIS, MO 63117-1854
(314) 925-4770
(314) 925-4771
Mailing address
1035 BELLEVUE AVE, SUITE 500, SAINT LOUIS, MO 63117-1854
(314) 925-4770
(314) 925-4771
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01058747A
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200494050
—
MO
01
—
P00141398
MEDICARE RAILROAD
MO
Enumeration date
06/27/2006
Last updated
06/08/2011
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