Individual
DR. PHILLIP B AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
417 STATE STREET, SUITE 121, GASTROENTEROLOGY CENTER OF MAINE, BANGOR, ME 04401
(207) 973-4266
Mailing address
447 NORTH MAIN STREET, SEBASTICOOK VALLEY HEALTH, PITTSFIELD, ME 04967
(207) 487-5261
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
008744
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269040099
—
ME
Enumeration date
10/02/2006
Last updated
02/26/2016
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