Organization
MIGUEL VELAZQUEZ DO, P.A.
Active
Other names
Osteopathic Sport & Spine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIGUEL VELAZQUEZ D.O. (OWNER/PHYSICIAN)
(207) 854-8200
Entity
Organization
Contact information
Practice address
344 CUMBERLAND ST, WESTBROOK, ME 04092-2408
(207) 854-8200
(877) 735-2638
Mailing address
344 CUMBERLAND ST, WESTBROOK, ME 04092-2408
(207) 854-8200
(877) 735-2638
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
1761
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
431815799
—
ME
Enumeration date
02/11/2010
Last updated
02/11/2010
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