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NPI Code Detail

MEDICARE: DR. ALAN R MAYER M.D.

MEDICARE: DR. ALAN R MAYER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician10326MT

General Provider Information

NPI Number : 1629005426
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAN R MAYER M.D.
Provider Business Mailing Address
First Line : 505 SO. 336TH ST.
Second Line : SUITE 600
City : FEDERAL WAY
State : WA
Zip : 98003
Country : US
Telephone Number : 253-838-6180
Fax Number :
Provider Business Practice Location Address
First Line : 400 S CLARK ST
Second Line :
City : BUTTE
State : MT
Zip : 59701-2328
Country : US
Telephone Number : 406-723-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 07/27/2007

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Directions to “ DR. ALAN R MAYER M.D.” Practice Location

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