Individual
EDWARD C MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
402 N TEJON ST, STE 200, COLORADO SPRINGS, CO 80903-1142
(719) 633-3850
(719) 227-0840
Mailing address
402 N TEJON ST, STE 200, COLORADO SPRINGS, CO 80903-1142
(719) 633-3850
(719) 227-0840
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30607
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01306075
—
CO
Enumeration date
12/20/2005
Last updated
02/23/2017
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