Individual
JOSEPH RODMAN DRAKE DEKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4 SEBAGO ROAD, HIRAM, ME 04041-0089
(207) 625-4730
(207) 625-4957
Mailing address
PO BOX 89, 4 SEBAGO ROAD, HIRAM, ME 04041-0089
(207) 625-4730
(207) 625-4957
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
994
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002061
ANTHEM
ME
05
—
112190000
—
ME
01
—
4573273
CIGNA
ME
01
—
D93091
HARVARD PILGRIM
ME
Enumeration date
09/20/2006
Last updated
11/01/2010
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