NPI | 1336503515 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RILEY President 207-200-1907 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: ME 1170 DO) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1170 DO) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2016-04-13 |