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NPI Code Detail

MEDICARE: MAXWELL SMITH

MEDICARE: MAXWELL SMITH
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
1103K00000XBehavior Analyst1-23-68813CO

General Provider Information

NPI Number : 1538600671
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAXWELL SMITH
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 3500
Second Line :
City : DENVER
State : CO
Zip : 80207-2339
Country : US
Telephone Number : 303-919-4927
Fax Number :
Provider Business Practice Location Address
First Line : 6750 W 52ND AVE
Second Line :
City : ARVADA
State : CO
Zip : 80002-3928
Country : US
Telephone Number : 720-706-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 11/13/2023

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Directions to “ MAXWELL SMITH ” Practice Location

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