Stephen D Maxwell
Cardiothoracic Vascular Surgeon
Three Medical Plaza Drive Suite 130
Roseville
, California 95661-3037
Stephen D Maxwell
Cardiothoracic Vascular Surgeon
Three Medical Plaza Drive Suite 130
Roseville
, California 95661-3037
(916) 773-8751
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Stephen D Maxwell
- P.o. Box 255228
- Sacramento, CA
- Zip : 95865-5228
- Fax : (916) 773-8751
- Phone : (916) 773-8750
Second Address
- Stephen D Maxwell
- Three Medical Plaza Drive Suite 130
- Roseville, CA
- Zip : 95661-3037
- Fax : (916) 773-8751
- Phone : (916) 773-8750
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | A78656 | CA |
National Provider Identifier
| NPI | 1043223936 |
|---|---|
| Provider Name | Stephen D Maxwell |
| First Address | Sacramento, CA 95865-5228 |
| Second Address | Roseville, CA 95661-3037 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/08/2006 |
| Last Update Date | 24/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I05802 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.