Individual
MR. EDWIN ALLEN MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-1000
(563) 421-7889
Mailing address
PO BOX 1245, BETTENDORF, IA 52722-0021
(563) 324-8160
(563) 324-8486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01682
IA
207LP2900X
Pain Medicine (Anesthesiology) Physician
01682
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003467
—
IA
Enumeration date
12/19/2005
Last updated
04/07/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us