Individual
DR. GREGORY V. MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
404 E ROLLA RD, SALEM, MO 65560-1563
(573) 729-6225
(573) 729-7258
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
113166
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244666541
—
MO
01
—
431560263
TRICARE
MO
01
—
P00313978
RAILROAD MEDICARE
MO
Enumeration date
06/02/2006
Last updated
07/11/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us