Individual
PATRICIA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
489 STATE STREET, KELLEY 6, BANGOR, ME 04401
(207) 973-6605
(207) 973-6196
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-6605
(207) 973-6196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1608
ME
208M00000X
Hospitalist Physician
Primary
DO1608
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240980099
—
ME
Enumeration date
10/26/2006
Last updated
10/19/2017
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