Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI # | 1801423330 |
| LBN Legal business name | COASTAL MAINE FOOT AND ANKLE PA |
| Authorized official | BARRY WHITE - (AUTHORIZED OFFICIAL) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/25/2020 |
| Last updated | 01/20/2021 - About 5 years ago |
| Identifiers | n/a |
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