NPI | 1821386343 |
---|---|
Entity Type | Organization |
Authorized Contact | JERALD E HURDLE Owner 207-877-9562 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: ME 2163) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME 2163) |
Enumeration Date | 2011-07-18 |
Last Update Date | 2011-10-07 |