Organization
ASAP MEDICAL CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH E IBARRA (CLINIC ADMINISTRATOR)
(207) 553-9071
Entity
Organization
Contact information
Practice address
209 WESTERN AVE, SUITE B1-B2, SOUTH PORTLAND, ME 04106
(207) 553-9071
(207) 553-9074
Mailing address
209 WESTERN AVE, SUITE B1-B2, SOUTH PORTLAND, ME 04106
(207) 553-9071
(207) 553-9074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
013647
ME
207Q00000X
Family Medicine Physician
Primary
014330
ME
207Q00000X
Family Medicine Physician
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Other
Enumeration date
03/19/2007
Last updated
07/03/2008
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