Individual
BRAD GREGORY SAMOJLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-2510
(207) 930-2512
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 930-2510
(207) 930-2512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD243
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431723799
—
ME
Enumeration date
08/30/2006
Last updated
02/07/2012
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