Mayberry, John Clark

Mayberry, John Clark is an sole proprietor health care provider with primary practice located at 1906 Fairview Ave Ste 130 , Caldwell ID 83605-5433. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mayberry, John Clark can be contacted via phone (208) 453-4260.

Contact Information

Primary practice address
1906 Fairview Ave Ste 130 Caldwell ID 83605-5433
Phone: (208) 453-4260
Fax: (844) 213-3678
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X M-12108 Idaho
Allopathic & Osteopathic Physicians / Surgery 208600000X M-12108 Idaho

Profile Details

NPI number 1528074077
LBN Legal business name Mayberry, John Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Oct 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers