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Richard Maynard, D.O

NPI 1952395063 · on the registry since 2005 · sole proprietor

Practice

Address: 110 Vista Dr
Pocatello, ID 83201
Phone: (208) 234-2300
Fax: (208) 234-0026
Organisation at this address: Mvh Endoscopy Llc
Pcs Endoscopy Suite
Mvh Pc Specialists Llc
Pcs Procedure Suite Llc
Primary Care Specialists, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Family Medicine Physician
207Q00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-02-06

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 Idaho