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NPI 1972547545 · live from the CMS NPI Registry

James R Maxwell, M.D.

Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1972547545, active.

NPI record

NPI1972547545 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location190 E Bannock St, Boise, ID 83712
Practice phone208-381-2094
Mailing addressPo Box 9696, Boise, ID 83707
EnumeratedJune 15, 2006
Last updatedFebruary 11, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XM7085 (ID)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.