Individual
CHRISTOPHER SCOTT MAYO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
937 CHETCO AVE STE. B, BROOKINGS, OR 97415
(541) 412-8000
Mailing address
PO BOX 6459, BROOKINGS, OR 97415-0279
(530) 310-0479
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10186047
OR
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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