Individual
WILLIAM COCHRAN MCDOUGALL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5000
(207) 861-5001
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5000
(207) 861-5001
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO2837
ME
207P00000X
Emergency Medicine Physician
DO2837
ME
390200000X
Student in an Organized Health Care Education/Training Program
TP15057
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417336603
—
ME
Enumeration date
05/21/2015
Last updated
08/01/2019
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