Individual
TAMARA WILLOUGHBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-5011
(207) 753-7201
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7007
(207) 795-5011
(207) 753-7201
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
015264
ME
Other
Enumeration date
02/03/2006
Last updated
07/25/2011
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