Individual
TIMOTHY P MAYFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5901 WESTOWN PKWY STE 110, WEST DES MOINES, IA 50266-8207
(515) 225-7001
(515) 440-1953
Mailing address
5901 WESTOWN PKWY STE 110, WEST DES MOINES, IA 50266-8207
(515) 225-7001
(515) 440-1953
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0434355
KS
208600000X
Surgery Physician
Primary
39766
IA
208600000X
Surgery Physician
T2005016637
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811094089
—
IA
Enumeration date
09/20/2006
Last updated
08/10/2022
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