# MAYFIELD FAMILY MEDICINE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710234190
- **Authorized official:** JENNIFER ALICE MAYFIELD MD, MPH (MEMBER, MANAGER)
- **Authorized official phone:** (509) 413-2105

## Contact information

- **Practice address:** 5901 N LIDGERWOOD ST STE 127, SPOKANE, WA 99208-1122
- **Practice address phone:** (509) 413-2105
- **Practice address fax:** (509) 413-2107
- **Mailing address:** 5901 N LIDGERWOOD ST STE 127, SPOKANE, WA 99208-1122
- **Mailing address phone:** (509) 413-2105
- **Mailing address fax:** (509) 413-2107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 16849 | WA | Yes |

## Other

- **Enumeration date:** 08/06/2012
- **Last updated:** 11/28/2018