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Individual

LEONARD G CLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
57 WATER ST, BLUE HILL, ME 04614-5231
(207) 374-3473
(207) 374-3989
Mailing address
57 WATER ST, BLUE HILL, ME 04614-5231
(207) 374-3473
(207) 374-3989

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO1234
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
154420000
ME
Enumeration date
03/17/2006
Last updated
05/23/2016
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