NPI | 1316332604 |
---|---|
Entity Type | Organization |
Authorized Contact | IRIS SAVERNIK Owner 207-373-8522 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME DO2151) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME DO2151) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2015-04-02 |