Individual
JOSHUA LEVI MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
66 N 6TH ST, POMEROY, WA 99347-9705
(509) 843-1591
(509) 843-6157
Mailing address
66 N 6TH ST, POMEROY, WA 99347-9705
(509) 843-1591
(509) 843-6157
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60055375
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60055375
PA LICENSE
WA
Enumeration date
11/26/2008
Last updated
06/09/2025
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