| NPI | 1144599986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W COX Sr VP Fiscal 207-743-6024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2014-10-10 |