# COASTAL MAINE FOOT AND ANKLE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801423330
- **Authorized official:** DR. BARRY WHITE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (207) 888-3640

## Contact information

- **Practice address:** 45 FOREST FALLS DR, YARMOUTH, ME 04096-6999
- **Practice address phone:** (207) 751-3970
- **Mailing address:** 45 FOREST FALLS DR, YARMOUTH, ME 04096-6999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 01/20/2021