Organization
HOSPITAL OSTEOPATHIC MANIPULATIVE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D KELLER DO (OWNER)
(207) 347-3164
Entity
Organization
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 347-3164
Mailing address
195 FORE RIVER PKWY STE 470, PORTLAND, ME 04102-2787
(207) 347-3164
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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