Walter Preston Maynard M.D.

NPI 1003838301 - Radiology - 2085B0100X

NPI Details
NPI 1003838301
Gender Male
Enumeration Date 07/24/2006
Last Updated 12/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
125 N PRAIRIE AVE
INGLEWOOD CA, 90301-1904, US
Phone (310) 671-9754
Fax (310) 671-3916
Business Location
125 N PRAIRIE AVE
INGLEWOOD CA, 90301-1904, US
Phone (310) 671-9754
Fax (310) 671-3916
Toxanomy
Taxonomy Code 2085B0100X
License State California
License Number C33935
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According to our database, Dr. Walter Preston Maynard M.D. NPI is 1003838301, taxonomy code is 2085B0100X and license number is C33935, license state is located at California. Walter Preston Maynard M.D. physically located at 125 N Prairie Ave, Inglewood CA, 90301-1904. NPI Number Walter Preston Maynard M.D. has the Individual type.

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1003838301 NPI number is provided on an as is basis without warranty of any kind. 1003838301 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Preston Maynard M.D. are for informational purposes only.