Individual provider · Type 1 NPI

John Clark Mayberry, MD

Surgery Physician · Caldwell, ID

NPI number 1528074077 Active

Practice location

1906 Fairview Ave Ste 130
Caldwell, ID 83605-5433

Fax (844) 213-3678

Mailing address

PO Box 1074
Caldwell, ID 83606-1074

Specialties and licenses

TaxonomyCodeLicense
Surgical Critical Care Physician 2086S0102XM-12108 (ID)
Surgery Physician Primary 208600000XM-12108 (ID)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1528074077

John Clark Mayberry, MD's National Provider Identifier is 1528074077, issued on Aug 1, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Caldwell, ID. The record was last updated on Oct 3, 2023.