Gregory V. Maynard in Salem - Family Medicine

Gregory V. Maynard - NPI 1063450187

Gregory V. Maynard is a Family Medicine in Salem, Missouri. Gregory V. Maynard practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gregory V. Maynard is 1063450187. The last update date is 2008-07-11.

Gregory V. Maynard's current location address is 404 E Rolla Rd, Salem, Missouri. You can contact this provider via phone number 5737296225 and fax number 5737297258. The mailing address for Gregory V. Maynard is 404 E Rolla Rd, Salem, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregory V. Maynard
Address 404 E Rolla Rd, Salem, Missouri
Phone Number 5737296225
Fax Number 5737297258
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1063450187
Provider Enumeration Date 2006-06-02
Last Updated Date 2008-07-11

Provider Mailing Address Detail

Address 404 E Rolla Rd
City Salem
State Missouri (MO)
Post Code 655601563
Phone Number 5737296225
Fax Number 5737297258

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 113166
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
431560263 MO TRICARE
P00313978 MO RAILROAD MEDICARE
244666541 MO --

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FAQs about Gregory V. Maynard

What is the unique 10-digit identification code assigned to Gregory V. Maynard by the Centers for Medicare & Medicaid Services?

The Gregory V. Maynard has been issued the NPI (National Provider Identifier) 1063450187, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Gregory V. Maynard is physically located?

The Gregory V. Maynard is physically situated at the following address: 404 E Rolla Rd, Salem, MO, 655601563.

What is the area of specialization for Gregory V. Maynard, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Gregory V. Maynard is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did Gregory V. Maynard receive its 1063450187 assignment from the Centers for Medicare & Medicaid Services?

The Gregory V. Maynard was assigned its 1063450187 on 2006-06-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Gregory V. Maynard last refreshed?

The information related to the Gregory V. Maynard, including its address, specialty, and other relevant details, was last updated on 2008-07-11.

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