NPI | 1235208513 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT R SHOLL Owner And Provider 207-282-3369 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 008890) |
Enumeration Date | 2006-11-08 |
Last Update Date | 2008-04-10 |