Richard M Maynard is a Family Medicine Physician based in Pocatello, ID. Richard M Maynard practices in Pocatello, ID and has the professional credentials of DO. The NPI Number for Richard M Maynard is 1952395063 and holds a License No. O-93 (Idaho).
The current practice location address for Richard M Maynard is 110 Vista Dr, Pocatello, ID and can be reached out via phone at 208-234-2300 and via fax at 208-234-0026.
Identifier | Type | State | Issuer |
---|---|---|---|
002665300 | 05 | ID | |
DV104 | 01 | ID | BLUE CROSS PROVIDER NUMBE |
080179525 | 01 | ID | RAILROAD MEDICARE NUMBER |
000010003340 | 01 | ID | BLUE SHIELD PROVIDER NUMB |
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