| NPI | 1447421862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE R. GASS Physician 207-773-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1804) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2012-04-24 |