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1164473534
STEFAN RANDOLPH MAXWELL
CHARLESTON, WV
NPI
1164473534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: WV 16172)
Enumeration Date
2006-05-12
Last Update Date
2007-07-08
Business Address
Dr. STEFAN RANDOLPH MAXWELL M.D.
830 PENNSYLVANIA AVE SUITE 406
CHARLESTON, WV 25302-3302
Phone number: 304-388-2238
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Mailing Address
Dr. STEFAN RANDOLPH MAXWELL M.D.
5 CHATHAM RD
CHARLESTON, WV 25304-2763
Phone number: 304-926-6428
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