| NPI | 1922437425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE FOURNIER Chief Financial And Admin. Officer 207-344-2230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2013-11-05 |