| NPI | 1912155003 |
|---|---|
| Former Legal Business Name | GUY A. DEFEO D.O., LLC |
| Entity Type | Organization |
| Authorized Contact | GUY ANTHONY DEFEO Owner 207-467-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: ME 1313) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |