Individual
ERIC L MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD, FAAA
Contact information
Practice address
1870 N MAIN ST, SUITE 202, CEDAR CITY, UT 84720-7744
(435) 867-0714
(435) 867-0739
Mailing address
1870 N MAIN ST, SUITE 202, CEDAR CITY, UT 84720-7744
(435) 867-0714
(435) 867-0739
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5256571-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230742
SELECT HEATH
UT
01
—
52565714100001
BLUE CROSS BLUE SHIELD
UT
01
—
73269
PEHP
UT
01
—
813571
DMBA
UT
Enumeration date
12/23/2005
Last updated
10/09/2023
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