Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CLARK MAYBERRY, MD
Active Sole ProprietorGeneral Surgery · CALDWELL, ID
Registration Details
- NPI Number
- 1528074077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (19.763567074065 yrs)
- Last Updated
- Oct 3, 2023
- Licenses
-
M-12108 (ID)M-12108 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1906 FAIRVIEW AVE STE 130CALDWELL, ID, 836055433Browse ID providers · Browse ZIP 83605
- Phone
- 2084534260
- Fax
- 8442133678
- Primary Specialty
-
General Surgery
208600000X
- Additional Specialty
- General Surgery
Other General Surgery Providers in CALDWELL, ID
| Name | Credential | NPI |
|---|---|---|
| JON MOORE AGEE | M.D. | 1710941026 |
| DR. RYAN W. HARDY | M.D. | 1477593648 |
| DR. M WHITNEY PARNELL | M.D. | 1962597948 |
| DR. ADAM D. BELL | DO | 1942463799 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.