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Organization
DEREK LIBBY DO
Active
Organization
DEREK LIBBY DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK R LIBBY D.O. (OWNER)
(207) 773-3335
Entity
Organization
Contact information
Practice address
97A EXCHANGE ST STE 201, PORTLAND, ME 04101-5016
(207) 773-3335
Mailing address
97A EXCHANGE ST STE 201, PORTLAND, ME 04101-5016
(207) 773-3335
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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