Individual
MR. CLINTON LEE DELASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 621-4116
(207) 622-4085
Mailing address
35 MEDICAL CENTER PARKWAY, AUGUSTA, ME 04330
(207) 621-4116
(207) 622-4085
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
016405
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022763
ANTHEM
ME
05
—
402660000
—
ME
Enumeration date
11/30/2006
Last updated
12/03/2013
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