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Organization
COASTAL MAINE FOOT AND ANKLE PA
Active
Organization
COASTAL MAINE FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY WHITE (AUTHORIZED OFFICIAL)
(207) 888-3640
Entity
Organization
Contact information
Practice address
45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
(207) 751-3970
Mailing address
45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
01/20/2021
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