Individual
DR. MARK D MAYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 PINEVIEW DR, MORGANTOWN, WV 26505-2713
(304) 598-3301
(304) 599-7346
Mailing address
1255 PINEVIEW DR, MORGANTOWN, WV 26505-2713
(304) 598-3301
(304) 599-7346
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
17989
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096228000
—
WV
05
—
15715140003
—
PA
05
—
15715140004
—
PA
05
—
515261500
—
MD
Enumeration date
11/16/2006
Last updated
06/13/2019
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