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Physicians Neuromusculoskeletal Medicine & OMM

Provider NPI: 1467726224

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
895 UNION ST SUITE12 BANGOR, ME 04401-3053 US
Tel: 207-973-7979  Fax: 207-947-9579

Business Mailing Address:
Tel: 207-973-5035  Fax: 207-973-5042

NPI Information:
NPI: 1467726224
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Neuromusculoskeletal Medicine & OMM
Family Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Q00000X





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