Individual
MATTHEW JAMES MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3533
Mailing address
812 GORMAN AVE, ELKINS, WV 26241-3181
(304) 637-3533
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2022
WV
363AM0700X
Medical Physician Assistant
2783
WV
Other
Enumeration date
09/29/2016
Last updated
02/08/2017
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