NPI | 1114001047 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY DOWD Owner/Physician 207-846-6212 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2006-10-25 |
Last Update Date | 2010-12-30 |