| NPI | 1174712319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY B CORBIN Owner 207-990-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: ME POD146) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2011-11-08 |