Individual
MELISSA LYNN MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 S EAGLE RD STE 1241, MERIDIAN, ID 83642-6355
(208) 381-6930
(208) 381-6931
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6371280
ID
208600000X
Surgery Physician
LL33752
SC
208600000X
Surgery Physician
MD2017-0610
NM
Other
Enumeration date
06/27/2011
Last updated
11/17/2025
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