MEDICARE: MAXWELL RALEIGH MAGEE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MD-52582	IA
2	207V00000X	Obstetrics & Gynecology Physician	04-44451	KS
3	390200000X	Student in an Organized Health Care Education/Training Program		AZ

General Provider Information

NPI Number	:	1437686516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAXWELL RALEIGH MAGEE

Provider Business Mailing Address
First Line	:	6000 UNIVERSITY AVE STE 203
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8206
Country	:	US
Telephone Number	:	515-241-2200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6000 UNIVERSITY AVE STE 203
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8206
Country	:	US
Telephone Number	:	515-241-2200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2017
Last Update Date	:	03/28/2024

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Directions to “ MAXWELL RALEIGH MAGEE ” Practice Location

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