Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maxwell George Church

Individual provider Independent Duty Corpsman · NPI 1013877828

Maxwell George Church is an Independent Duty Corpsman in El Cajon, California. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

1581 E Main St Lot 80
El Cajon, CA 92021-5902
Phone: (419) 602-3219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1013877828
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 13, 2025
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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