Organization
SOUTHERN MAINE FOOT AND ANKLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER T OCAMPO DPM (PRESIDENT)
(207) 883-0865
Entity
Organization
Contact information
Practice address
25 PLAZA DR, SUITE 9, SCARBOROUGH, ME 04074-6900
(207) 883-0865
(207) 883-0913
Mailing address
25 PLAZA DR, SUITE 9, SCARBOROUGH, ME 04074-6900
(207) 883-0865
(207) 883-0913
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD1031
ME
Other
Enumeration date
11/15/2006
Last updated
11/15/2016
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