Most Relevant Information
Provider Data
| NPI Number: | 1003013889 |
| Provider Name: | PETER GLEN MAYLAND MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | G22923 |
Most Important Dates
| Enumeration Date: | 06/27/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
10021 MADRONE LN
REDWOOD VALLEY
CA
954709724
Practice Location Phone/Fax
| Phone: | 7074850770 |
| Fax: | 7074856111 |
Provider Mailing Location
10021 MADRONE LN
REDWOOD VALLEY
CA
954709724
Provider Mailing Phone/Fax
| Phone: | 7074850770 |
| Fax: | 7074856111 |
Suggested EMR
Psychiatry EMR