| NPI | 1992908479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MASON HALLBERT President 207-338-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME R014171) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |