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Individual

DR. DOUGLAS D MAYO

Active
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Individual

DR. DOUGLAS D MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
D0061555
MD
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D006155
MD

Other

Enumeration date
04/01/2006
Last updated
06/20/2012
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