Individual
AMANDA DIANE MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 E MAIN ST, SUITE 100, COLUMBUS, OH 43215-5369
(614) 566-9933
(614) 566-8610
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.009462
OH
Other
Enumeration date
07/03/2007
Last updated
01/25/2022
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