Richard M Maynard, D.O.

NPI #1952395063 in Pocatello, Idaho

Provider Information

NPI Number
1952395063
Entity Type
Individual
Name
Richard M Maynard, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Family Medicine
Credential
D.O.
Enumeration Date
Sep 2, 2005
Last Updated
Feb 6, 2014

Practice Location

Address
110 VISTA DR
State
Idaho
ZIP Code
83201-5824
Phone
(208) 234-2300

Specialties & Taxonomy Codes

Specialty
Family Medicine

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