| NPI | 1508978248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN BECK Owner 207-870-7627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-06-14 |