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 |