Individual
PETER TIOSECO OCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
25 PLAZA DR, STE 9, SCARBOROUGH, ME 04074-6900
(207) 883-0865
(207) 883-0913
Mailing address
25 PLAZA DR, STE 9, SCARBOROUGH, ME 04074-6900
(207) 883-0865
(207) 883-0913
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1031
ME
Other
Enumeration date
10/05/2006
Last updated
11/15/2016
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