| NPI | 1467638312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | F. LINCOLN AVERY Chief Administrator 207-332-5462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: ME 012274) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2011-11-29 |