Organization
BANGOR EYE SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARTH ALLEN WILBANKS MD (TREUSURER)
(207) 947-6743
Entity
Organization
Contact information
Practice address
900-A HAMMOND STREET, BANGOR, ME 04401
(207) 947-6743
(207) 945-4397
Mailing address
900-A HAMMOND STREET, BANGOR, ME 04401
(207) 947-6743
(207) 945-4397
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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