Individual
KEITH A MAYO
Active
Individual
KEITH A MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00017589
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972510014
—
WA
01
—
317076
WASHINGTON STATE LABOR AND INDUSTRIES
WA
Enumeration date
08/02/2006
Last updated
06/17/2021
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