| NPI | 1891958039 |
|---|---|
| Doing Business As | FREEPORT FAMILY HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY ALAN BENSON Provider 207-458-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ME 014571) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |