Physician Compare National (NPI:1861575961)

HEALTHCARE PROVIDER: PATRICK TERRY MAYO DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1861575961
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012102775
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101109000088
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MAYO
	Individual professional last name
Provider First Name	PATRICK
	Individual professional first name
Provider Middle Name	TERRY
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NATIONAL COLLEGE OF CHIROPRACTIC
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3298 E 17TH ST
	Group Practice or individual's line 1 address
City	AMMON
	Group Practice or individual's city
State	ID
	Group Practice or individual's state
Zip Code	834066758
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2085223863
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M