RUTH D MAYFORTH

SPRINGFIELD, IL
NPI1184610255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0120X Surgery, Pediatric Surgery
(Licence: IL  036105117)
Enumeration Date2005-09-23
Last Update Date2010-07-20
Business Address
-- RUTH D MAYFORTH M.D.
301 N 8TH ST PAV4A
SPRINGFIELD, IL 62701-1041
Phone number: 217-545-0702
Mailing Address
-- RUTH D MAYFORTH M.D.
PO BOX 19655
SPRINGFIELD, IL 62794-9655
Phone number: 217-545-0702