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1578503769
COBY MAXWELL
AVON, IN
NPI
1578503769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 01050906)
Enumeration Date
2006-06-07
Last Update Date
2014-02-18
Business Address
-- COBY MAXWELL MD
1111 RONALD REAGAN PKWY
AVON, IN 46123-7085
Phone number: 317-802-3146
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Mailing Address
-- COBY MAXWELL MD
250 N SHADELAND AVE STE 130 PROVIDER ENROLLMENT
INDIANAPOLIS, IN 46219-4959
Phone number:
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