Individual
JULIE M MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1440 15TH AVE NW, ABERDEEN, SD 57401-1846
(605) 725-1700
(605) 725-1761
Mailing address
1440 15TH AVE NW, ABERDEEN, SD 57401-1846
(605) 725-1700
(605) 725-1761
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
3622
SD
208M00000X
Hospitalist Physician
Primary
3622
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6700403
—
SD
Enumeration date
04/25/2006
Last updated
05/18/2019
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