Provider Demographics
NPI:1043709355
Name:MAYFIELD, EMMA F (DO)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:F
Last Name:MAYFIELD
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3122 E MERIDIAN PARK LOOP
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-7255
Mailing Address - Country:US
Mailing Address - Phone:866-907-1068
Mailing Address - Fax:425-917-9141
Practice Address - Street 1:1201 E 36TH AVE
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-562-9229
Practice Address - Fax:907-562-1603
Is Sole Proprietor?:No
Enumeration Date:2018-05-02
Last Update Date:2021-07-27
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Provider Licenses
StateLicense IDTaxonomies
AK134758207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine