| NPI | 1215269626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JAUREGUI Dir Prvdr Enrollment & Cvo, Mhmg Pa 207-661-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology | |
| 2085D0003X Radiology Diagnostic Neuroimaging | |
| 2471M1202X Radiologic Technologist Magnetic Resonance Imaging | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2022-12-13 |