| NPI | 1487712733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMPSON Co Owner And Provider 207-467-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |