MR. Leroy Maxwell SR., OD MPH

NPI #1396758504 in Selma, Alabama

Provider Information

NPI Number: 1396758504
Entity Type: Individual
Name: MR. Leroy Maxwell SR., OD MPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD MPH
Enumeration Date: Aug 15, 2006
Last Updated: Oct 15, 2010

Practice Location

Address: 2401 MEDICAL CENTER PKWY
City: Selma
State: Alabama
ZIP Code: 36701-7756
Phone: (334) 872-2321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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