Individual
MR. LANCE JOHN MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1 EDIZ HOOK, U.S. COAST GUARD CLINIC, PORT ANGELES, WA 98362-2201
(360) 417-5891
(360) 417-5988
Mailing address
1113 CRAIG ST, PORT ANGELES, WA 98362-2720
(360) 417-0695
(360) 417-5899
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004207
WA
Other
Enumeration date
12/19/2005
Last updated
07/16/2007
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