| NPI | 1134295769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL WILLIAM KEENAN Owner/Physician 207-361-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-06-15 |