John Clark Mayberry, MD

NPI #1528074077 in Caldwell, Idaho

Provider Information

NPI Number: 1528074077
Entity Type: Individual
Name: John Clark Mayberry, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Aug 1, 2006
Last Updated: Oct 3, 2023

Practice Location

Address: 1906 FAIRVIEW AVE STE 130
City: Caldwell
State: Idaho
ZIP Code: 83605-5433
Phone: (208) 453-4260

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Surgical Critical Care — Surgical Critical Care	2086S0102X
Surgery	208600000X	Primary

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Organizations

Provider Name	Specialty	City
Surgical Group, P.a.	Surgery	Caldwell	AI Deep Dive

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