| NPI | 1205259736 |
|---|---|
| Doing Business As | CALAIS COMMUNITY PROVIDER PRACTICE |
| Doing Business As | CALAIS COMMUNITY SPECIALTY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TAMMY MITCHELL PFS Director 207-454-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207X00000X Orthopaedic Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2021-11-10 |