NPI | 1205009156 |
---|---|
Doing Business As | WESTERN MAINE SPECIALTY CLINIC |
Doing Business As | STEPHENS MEMORIAL SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | JOHN COX Senior VP Fiscal 207-743-1562 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2008-04-10 |
Last Update Date | 2020-02-21 |