Walter P Maynard (NPI# 1003838301, PAC ID# 1052361177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1003838301 |
| PAC ID by PECOS | 1052361177 |
| Professional Enrollment ID | I20050126001014 |
| Full Name | Walter P Maynard |
| Address |
125 N Prairie Ave Inglewood CA 90301-1904 |
| Phone Number | 3106719754 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Secondary Specialties | NUCLEAR MEDICINE |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 125 N Prairie Ave, Inglewood, CA 90301-1904 | 3106719754 |
| Street Address |
125 N PRAIRIE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip | 90301-1904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Gyden | Physical Therapy | 426 W Manchester Blvd, Inglewood, CA 90301-1110 | |
| Bambi Lynn Nickelberry | Family Medicine | 248 N Locust St, Inglewood, CA 90301-1204 | |
| Carolina B Aguero | Optometry | Scolinos Optometry Inc | 236 N Market St, Inglewood, CA 90301-1217 |
| Mae Lae Louie | Optometry | Scolinos Optometry Inc. | 236 N Market St, Inglewood, CA 90301-1217 |
| Payman Vahedifar | Internal Medicine | 211 N Prairie Ave, Suite A, Inglewood, CA 90301-1412 | |
| Cranford L Scott | Internal Medicine | 233 N Prairie Ave, Inglewood, CA 90301-1412 | |
| Stuart Edwin Strausberg | Diagnostic Radiology | Icm Medical Group Inc | 211 N Prairie Ave, Inglewood, CA 90301-1412 |
| Anitha T Mitchell | Internal Medicine | 211 N Prairie Ave, Inglewood, CA 90301-1412 | |
| James H Peace | Ophthalmology | 431 N Prairie Ave, Inglewood, CA 90301-1413 | |
| Jonathan Tiongson | Podiatry | 455 N Prairie Ave, Inglewood, CA 90301-1413 | |
| Find all physicians in zip 90301 | |||
| City | INGLEWOOD |
| Zip Code | 90301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | INGLEWOOD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Walter P Maynard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.