Organization
WHOLE HEALTH OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R GOLDBAS DO (OWNER)
(207) 749-6612
Entity
Organization
Contact information
Practice address
195 FORE RIVER PKWY STE 407, PORTLAND, ME 04102-2780
(207) 749-6612
Mailing address
195 FORE RIVER PKWY STE 407, PORTLAND, ME 04102-2780
(207) 749-6612
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
10/14/2020
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