| NPI | 1992982680 |
|---|---|
| Doing Business As | MAINE PROCTOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD S STOCKWELL Owner/Provider 207-854-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-05-16 |