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General NPI Number Information
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NPI Number | 1649754441
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Entity Type | Organization
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Legal Business Name | STEVEN R MAYNARD, MD, PLLC
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 1901 S UNION AVE STE B3010
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City | TACOMA
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State | WA
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Zip | 98405-1803
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Country | US
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Telephone | 253-383-5628
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Fax | 253-383-5687
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Provider Business Mailing Address
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Address Line | 1901 S UNION AVE STE B3010
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City | TACOMA
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State | WA
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Zip | 98405-1803
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Country | US
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Telephone | 253-383-5628
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Fax | 253-383-5687
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN ROBERT MAYNARD
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Credential | MD
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Telephone | 508-272-8061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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