Maria Maynard, PHYSICIAN ASSISTANT

NPI #1184080145 in Marietta, Oklahoma

Provider Information

NPI Number: 1184080145
Entity Type: Individual
Name: Maria Maynard, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Jan 6, 2016
Last Updated: Jan 6, 2016

Practice Location

Address: 300 WANDA ST
City: Marietta
State: Oklahoma
ZIP Code: 73448-1200
Phone: (580) 276-3347

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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