NPI | 1336179084 |
---|---|
Entity Type | Organization |
Authorized Contact | RAYMOND J LEADBETTER Practice Manager 207-474-6940 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
2084N0400X Psychiatry & Neurology, Neurology | |
208600000X Surgery | |
Enumeration Date | 2006-07-04 |
Last Update Date | 2020-08-22 |