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Individual

DAVID B. MCDERMOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-8401
Mailing address
897 W MAIN ST, DOVER FOXCROFT, ME 04426-1029
(207) 564-8401

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12650
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
291860099
ME
01
P00165460
RAILROAD MEDICARE
ME
Enumeration date
06/15/2006
Last updated
12/23/2020
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