Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DUSTIN ROSS MAYNE, D.O.
ActivePediatrics · ELLSWORTH AFB, SD
Registration Details
- NPI Number
- 1780045427
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 8, 2016 (10.183358116155 yrs)
- Last Updated
- Aug 5, 2019
- License
-
1780 (NE)
Practice Information
- Address
-
2900 DOOLITTLE DRELLSWORTH AFB, SD, 57706Browse SD providers · Browse ZIP 57706
- Phone
- 9376413000
- Fax
- 9376415931
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ELLSWORTH AFB, SD
| Name | Credential | NPI |
|---|---|---|
| DR. AMY COSTELLO | M.D. | 1144278318 |
| MR. NICHOLAS CATTANEO | M.D. | 1275804775 |
| DR. CAITLIN MEYER | DO | 1720616378 |
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.