Individual
DR. DAVID R MAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 MULBERRY ST, SCRANTON, PA 18510-2369
(570) 703-7351
(570) 703-7801
Mailing address
100 N ACADEMY AVE # 4903, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013854
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017558370001
—
PA
Enumeration date
10/11/2006
Last updated
03/11/2025
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