Individual
MR. BENJAMIN MILES MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
601 N 4TH ST, MONTROSE, CO 81401-3519
(970) 249-5347
Mailing address
601 N 4TH ST, MONTROSE, CO 81401-3519
(970) 249-5347
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN.0174594
CO
Other
Enumeration date
08/15/2014
Last updated
09/02/2014
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