| NPI | 1457363160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B BROOKS President 386-736-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0026840) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL 1053372) |
| 207V00000X Obstetrics & Gynecology (Licence: FL ME103639) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2011-09-02 |