Organization
NANCY J. OLIPHANT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY J OLIPHANT MD (PRESIDENT)
(207) 633-1075
Entity
Organization
Contact information
Practice address
185 TOWNSEND AVE STE R, BOOTHBAY HARBOR, ME 04538-1895
(207) 633-1075
(207) 633-1067
Mailing address
185 TOWNSEND AVE STE R, BOOTHBAY HARBOR, ME 04538-1895
(207) 633-1075
(207) 633-1067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014473
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037742
BC/BS
—
Enumeration date
11/15/2007
Last updated
03/12/2008
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