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Richard M Maynard, DO
Family Medicine Physician in Pocatello, Idaho
NPI 1952395063

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.

Location: 110 Vista Dr, Pocatello, ID, 83201-5824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952395063
Provider Name
Richard M Maynard
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
110 Vista Dr, Pocatello, ID, 83201-5824
Phone Number
208-234-2300
Fax Number
208-234-0026
Provider Enumeration Date
09/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
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
institution
Provider Business Practice Location Address Details
Address
110 Vista Dr
City
Pocatello
State
Idaho
Zip
83201-5824
Phone Number
208-234-2300
Fax Number
208-234-0026
person
Provider Business Mailing Address Details
Address
110 Vista Dr
City
Pocatello
State
Idaho
Zip
83201-5824
Phone Number
208-234-2300
Fax Number
208-234-0026
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-93 (Idaho)
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 is not limited by age, sex, organ system, or disease entity.
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