| NPI | 1174764146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE PERRON President 207-725-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ME POD1008) |
| Enumeration Date | 2009-03-20 |
| Last Update Date | 2009-09-30 |