Individual
JONATHAN A MAXHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8425 S EASTERN AVE, LAS VEGAS, NV 89123-2891
(702) 779-3902
(866) 536-1461
Mailing address
1000 N GREEN VALLEY PKWY #440, #231, HENDERSON, NV 89074-2891
(702) 779-3902
(866) 536-1461
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
76516
GA
207R00000X
Internal Medicine Physician
Primary
DO2202
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/19/2009
Last updated
05/06/2024
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