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Individual

DR. DOUGLAS W. RAINFORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
GOODALL OCCUPATIONAL HEALTH CLINIC, 13JULY ST., SANFORD, ME 04073
(207) 490-7099
Mailing address
PO BOX 693, MOODY, ME 04054-0693
(207) 646-4475
(207) 646-4475

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6898
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6898
MEDICAL LICENSE NUMBER
ME
Enumeration date
06/15/2007
Last updated
07/08/2007
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