Organization
MAYFIELD INC.
Active
Other names
FASTSERV MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MAYFIELD (OWNER/MANAGER)
(318) 396-3366
Entity
Organization
Contact information
Practice address
1329 DRIFTWOOD DR, BOSSIER CITY, LA 71111-2840
(318) 741-9586
(318) 741-9587
Mailing address
112 SUMMER LN, WEST MONROE, LA 71291-3500
(318) 396-3366
(318) 397-2132
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
11/23/2013
Last updated
11/23/2013
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