Dr. Gregory A Maynard, M.D.
Internal Medicine in San Diego, CA. Individual provider (NPI-1).
NPI number1265460331
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265460331
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gregory A Maynard
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | G86750 | CA | Yes |
Practice location
200 W Arbor DrSan Diego, CA 92103-9000
Phone 619-543-6222 · Fax 619-543-3183
Mailing address
13113 Winstanley WaySan Diego, CA 92130-1349
Phone 858-259-2050
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