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NPI Code Detail

MEDICARE: DR. RICHARD BRIAN MAXWELL M.D.

MEDICARE: DR. RICHARD BRIAN MAXWELL M.D.
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
1390200000XStudent in an Organized Health Care Education/Training Program173562MT
2208D00000XGeneral Practice PhysicianME174387FL

General Provider Information

NPI Number : 1831413798
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD BRIAN MAXWELL M.D.
Provider Business Mailing Address
First Line : PO BOX 6010
Second Line :
City : GREAT FALLS
State : MT
Zip : 59406-6010
Country : US
Telephone Number : 406-455-5000
Fax Number :
Provider Business Practice Location Address
First Line : 2800 11TH AVE S STE 24
Second Line :
City : GREAT FALLS
State : MT
Zip : 59405-5263
Country : US
Telephone Number : 406-771-6300
Fax Number : 406-731-8318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2010
Last Update Date : 06/02/2026

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