MR. Lance John Mayfield, PHYSICIAN ASSISTANT

NPI #1376529644 in Port Angeles, Washington

Provider Information

NPI Number
1376529644
Entity Type
Individual
Name
MR. Lance John Mayfield, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Dec 19, 2005
Last Updated
Jul 16, 2007

Practice Location

Address
1 EDIZ HOOK
Address 2
U.S. COAST GUARD CLINIC
ZIP Code
98362-2201
Phone
(360) 417-5891

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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