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1033782925
MALCOLM T MAXWELL
ST GEORGE, UT
NPI
1033782925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: UT 10868968-1206)
Enumeration Date
2021-07-20
Last Update Date
2021-07-20
Business Address
MALCOLM T MAXWELL PA-C
2825 E MALL DR
ST GEORGE, UT 84790-1954
Phone number: 435-628-9393
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Mailing Address
MALCOLM T MAXWELL PA-C
1055 N 500 W ATT CREDENTIALING
PROVO, UT 84604
Phone number: 801-354-8225
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