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1902967219
RODERICK D MAXWELL
LAYTON, UT
NPI
1902967219
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: UT 6343294-1206)
Enumeration Date
2006-12-12
Last Update Date
2012-09-11
Business Address
-- RODERICK D MAXWELL PA-C
2084 N 1700 W SUITE A
LAYTON, UT 84041
Phone number: 801-773-8644
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Mailing Address
-- RODERICK D MAXWELL PA-C
2086 N 1700 W SUITE C
LAYTON, UT 84041
Phone number: 801-773-8644
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