Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE A MAXWELL, D.O.
ActiveMR. SHANE A MAXWELL, D.O. is a Interventional Vascular Surgery healthcare provider located in MERIDIAN, Idaho. NPI 1508825456 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · MERIDIAN, ID
Registration Details
- NPI Number
- 1508825456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2006 (20.389280986953 yrs)
- Last Updated
- Jul 21, 2022
- License
-
O0385 (ID)
Practice Information
- Address
-
3551 E OVERLAND RDMERIDIAN, ID, 836426757Browse ID providers · Browse ZIP 83642
- Phone
- 2088841333
- Fax
- 2084895188
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
Other Interventional Vascular Surgery Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| KARL ZARSE | MD | 1982633889 |
| RUSSELL BOLTON HARMONY | NP | 1194065730 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.