| NPI | 1760570006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L TOOTHAKER President 207-368-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: ME POD141) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |