Individual
MAXWELL A. DARTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1360 W 6TH ST, SUITE 165, SAN PEDRO, CA 90732-3514
(310) 241-1350
(310) 241-1357
Mailing address
1360 W 6TH ST, SUITE 165, SAN PEDRO, CA 90732-3514
(310) 241-1350
(310) 241-1357
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A33447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A334470
—
CA
Enumeration date
08/13/2006
Last updated
07/09/2007
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