| NPI | 1417428848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D KELLER Owner 207-347-3164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |