| NPI | 1518944685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C BUCK President 207-784-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2009-08-28 |