DR. MAXWELL ELMER WALDRON JR.


Address: 2101 So 324 St, Unit 122, Federal Way, WA 98003
Phone: 2539250672

DR. MAXWELL ELMER WALDRON JR. (NPI# 1578754743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578754743
Entity Type Individual
Full Name DR. MAXWELL ELMER WALDRON JR.
Other Name DR. MAX WALDRON
Credential DO
Practice Address 2101 So 324 St
Unit 122
Federal Way
WA 98003
Practice Telephone 2539250672
Mailing Telephone 2539250672
Enumeration Date 2007-08-05
Last Update Date 2007-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice OP00000459 WA Allopathic & Osteopathic Physicians

Office Location

Street Address 2101 SO 324 ST
UNIT 122
City FEDERAL WAY
State WA
Zip Code 98003

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1972958940 Kathy Marie Haviland Registered Nurse 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 2016-04-27
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1659767036 Jillian Liner Pediatrics 34503 9th Ave S Ste 220, Federal Way, WA 98003 2015-04-12
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1730272147 Wanda Roberton General Practice 32020 1st Ave S, Suite 115, Federal Way, WA 98003-5717 2006-09-30
1043844723 Sound Integrated Medical Center General Practice 34716 1st Ave S, Federal Way, WA 98003-6760 2020-03-02
1174831192 Michael S Davidov, Md, Inc, Ps General Practice 34509 9th Avenue South, #207, Federal Way, WA 98003-8709 2010-09-24

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1962916437 Parkview Medical Group Inc General Practice 615 S Division St Ste A, Moses Lake, WA 98837-3800 2017-11-20
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Competitor

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City FEDERAL WAY
Zip Code 98003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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