MAC THEODORE WAYMENT

FOLSOM, CA
NPI1609088350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2080P0203X Pediatrics, Pediatric Critical Care Medicine
(Licence: CA  20A9172)
Additional Taxonomies208000000X Pediatrics
(Licence: CA  20A 9172)
Enumeration Date2007-05-04
Last Update Date2023-11-10
Business Address
Dr. MAC THEODORE WAYMENT DO
1700 PRAIRIE CITY RD
FOLSOM, CA 95630-9594
Phone number: 916-351-4800
Mailing Address
Dr. MAC THEODORE WAYMENT DO
3400 DATA DR PHYSICIAN SUPPORT SERVICES
RANCHO CORDOVA, CA 95670-7956
Phone number: