| 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 |