| Mayfield Family Medicine Pllc | |
|
5901 N Lidgerwood St Ste 127 Spokane WA 99208-1122 | |
| (509) 413-2105 | |
| (509) 413-2107 |
| Full Name | Mayfield Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5901 N Lidgerwood St Ste 127, Spokane, Washington |
| Authorized Official Name and Position | Jennifer Alice Mayfield (MEMBER, MANAGER) |
| Authorized Official Contact | 5094132105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mayfield Family Medicine Pllc 5901 N Lidgerwood St Ste 127 Spokane WA 99208-1122 Ph: (509) 413-2105 | Mayfield Family Medicine Pllc 5901 N Lidgerwood St Ste 127 Spokane WA 99208-1122 Ph: (509) 413-2105 |
| NPI Number | 1710234190 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 11/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710234190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16849 (Washington) | Primary |
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