| NPI | 1265628804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE H BUTLAND Office Manager 207-797-5753 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2009-09-30 |