| NPI | 1366474611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HARVEY Cheif Medical Officier 207-699-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| 207R00000X Internal Medicine | |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 208000000X Pediatrics | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 133V00000X Dietitian, Registered | |
| 225100000X Physical Therapist | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2013-05-22 |