Mayfield, Michael Bradley

Mayfield, Michael Bradley is an individual health care provider with primary practice located at 2729 S Highway 65 82 , Lake Village AR 71653-6136. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mayfield, Michael Bradley can be contacted via phone (870) 265-9364.

Contact Information

Primary practice address
2729 S Highway 65 82 Lake Village AR 71653-6136
Phone: (870) 265-9364
Fax: (870) 265-9366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-8286 Arkansas
Allopathic & Osteopathic Physicians / Surgery 208600000X C-8286 Arkansas

Profile Details

NPI number 1306894803
LBN Legal business name Mayfield, Michael Bradley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 2nd, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306894803 NPPES
Arkansas MEDICAID 136648001

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