Search › Illinois › 183500000X
Donald Mayden
NPI 1316047053 · on the registry since 2006 · sole proprietor
Practice
- Address
- 600 E Ferguson Ave
Wood River, IL 62095 - Phone
- (618) 254-6223
- Organisation at this address
- Camp Drugs, Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois