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Individual

MARK A DOUGLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000
(207) 744-0427
Mailing address
1 MEDICAL CENTER DRIVE, BIDDEFORD, ME 04005
(207) 283-7000
(207) 744-0427

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
012863
ME
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD12863
ME

Other

Enumeration date
08/13/2006
Last updated
07/02/2014
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