| NPI | 1285758953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH E IBARRA Clinic Administrator 207-553-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 014330) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207Q00000X Family Medicine (Licence: ME 013647) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-07-03 |