Organization
RIVERTREE OSTEOPATHIC HEALTH PC
Active
Other names
Freeport Osteopathic Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACEY E GODDARD D.O. (DIRECTOR/OFFICER)
(207) 865-6655
Entity
Organization
Contact information
Practice address
460 AUGUSTA RD APT B, TOPSHAM, ME 04086-5728
(207) 865-6655
(207) 865-6653
Mailing address
460 AUGUSTA RD APT B, TOPSHAM, ME 04086-5728
(207) 865-6655
(207) 865-6653
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1766
ME
Other
Enumeration date
07/06/2011
Last updated
11/28/2022
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