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Mr. Shane A Maxwell, DO
Interventional Pain Medicine Physician in Meridian, Idaho
NPI 1508825456

Shane A Maxwell is a Interventional Pain Medicine Physician based in Boise, ID and is specialized in Interventional Pain Medicine. Shane A Maxwell practices in Meridian, ID and has the professional credentials of DO. The NPI Number for Shane A Maxwell is 1508825456 and holds a License No. O0385 (Idaho).

The current practice location address for Shane A Maxwell is 3551 E Overland Rd, Meridian, ID and can be reached out via phone at 208-884-1333 and via fax at 208-489-5188. You can also correspond with Shane A Maxwell through the mailing address at PO BOX 1128, BOISE, ID - 83701-1128 (mailing address contact number: 208-381-2222).

Location: 3551 E Overland Rd, Meridian, ID, 83701-1128
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508825456
Provider Name
Shane A Maxwell
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3551 E Overland Rd, Meridian, ID, 83701-1128
Phone Number
208-884-1333
Fax Number
208-489-5188
Provider Enumeration Date
03/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807415700 05 ID
1508825456 05 ID
institution
Provider Business Practice Location Address Details
Address
3551 E Overland Rd
City
Meridian
State
Idaho
Zip
83642-6757
Phone Number
208-884-1333
Fax Number
208-489-5188
person
Provider Business Mailing Address Details
Address
3551 E Overland Rd
City
Meridian
State
Idaho
Zip
83642-6757
Phone Number
208-884-1333
Fax Number
208-489-5188
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
O0385 (Idaho)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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