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Organization

SUNBURY PRIMARY CARE, P.A.

Active
Parent organization
SUNBURY PRIMARY CARE, P.A.
Other names
Orono Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
SUNBURY PRIMARY CARE, P.A.
Authorized official
DAVID L SAVELL (CHIEF EXECUTIVE OFFICER)
(207) 942-7650
Entity
Organization

Contact information

Practice address
291 MAIN ST, ORONO, ME 04473-3439
(207) 866-5531
(207) 866-3748
Mailing address
PO BOX 921, BANGOR, ME 04402-0921
(207) 990-0864
(207) 990-5586

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124740009
ME
Enumeration date
11/03/2006
Last updated
01/21/2009
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