| NPI | 1649677840 | 
|---|---|
| Former Legal Business Name | SPECTRUM MEDICAL GROUP, PA | 
| Doing Business As | PENOBSCOT SURGICAL CARE | 
| Entity Type | Organization | 
| Authorized Contact | DAVID LANDRY Chief Executive Officer 207-482-7800  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 208600000X Surgery | 
| Enumeration Date | 2014-12-03 | 
| Last Update Date | 2018-06-16 |