Keith M Maxwell in Salt Lake City - Sports Medicine
Keith M Maxwell - NPI 1063507739
Keith M Maxwell is a Sports Medicine in Salt Lake City, Utah. Keith M Maxwell practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Keith M Maxwell is 1063507739. The last update date is 2018-08-28.
Keith M Maxwell's current location address is Po Box 27877, Salt Lake City, Utah. You can contact this provider via phone number 8286948385 and fax number 8286947654. The mailing address for Keith M Maxwell is Po Box 27877, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith M Maxwell |
|---|---|
| Address | Po Box 27877, Salt Lake City, Utah |
| Phone Number | 8286948385 |
| Fax Number | 8286947654 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063507739 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2018-08-28 |
Provider Mailing Address Detail
| Address | Po Box 27877 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841270877 |
| Phone Number | 8286948385 |
| Fax Number | 8286947654 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 27823 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200038382 | NC | MEDICARE RR PROVIDER NUMB | |
| P00916635 | NC | RR MEDICARE | |
| A3023 | NC | MEDCOST PROVIDER NUMBER | |
| 1114G | NC | BCBS OF NC PROVIDER NUMBE | |
| 891114G | NC | -- |
Post Comment/ Review Below
What is the Keith M Maxwell's 1063507739?
The Keith M Maxwell's NPI (National Provider Identifier) Number is 1063507739. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Keith M Maxwell is physically located?
The Keith M Maxwell is physically situated at the following address: Po Box 27877, Salt Lake City, UT, 841270877.
What is Keith M Maxwell's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith M Maxwell's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Xx0005X.
On what date was the 1063507739 assigned to Keith M Maxwell?
The Keith M Maxwell was issued its 1063507739 on 2006-10-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Keith M Maxwell's information last updated?
The Keith M Maxwell's information was last updated on 2018-08-28.