| NPI | 1609941509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN THOMPSON Provider 207-467-9156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2008-05-23 |