Individual provider · Type 1 NPI

Ruth D. Mayforth, MD

Pediatric Surgery Physician · Springfield, IL

NPI number 1184610255 Active

Practice location

301 N 8th St, PAV4A
Springfield, IL 62701-1041

Call (217) 545-0702 Map

Fax (217) 545-7305

Mailing address

PO Box 19655
Springfield, IL 62794-9655

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X036105117 (IL)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1184610255

Ruth D. Mayforth, MD's National Provider Identifier is 1184610255, issued on Sep 23, 2005. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Springfield, IL. The record was last updated on Jul 20, 2010.