Individual
PAUL RAMON MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028-4137
(636) 933-8050
(636) 933-8047
Mailing address
1390 US HIGHWAY 61 STE N1500, FESTUS, MO 63028-4137
(636) 933-8050
(636) 933-8047
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2003020138
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0901526
UNITED HEALTHCARE
MO
01
—
1283843
CIGNA
MO
01
—
183352
BLUE CROSS BLUE SHIELD
MO
01
—
186695
GROUP HEALTH PLAN
MO
05
—
208803502
—
MO
01
—
482650
HEALTHLINK
MO
01
—
7919513
AETNA
MO
01
—
P00073107
RAILROAD MEDICARE
MO
Enumeration date
05/08/2006
Last updated
11/16/2018
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