| NPI | 1912401035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D FRANK Practice Administrator 844-455-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: FL ME0041659) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2019-03-13 |