Individual
IGOR PROKOPIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9 HEALTHCARE DR, SUITE 202, BIDDEFORD, ME 04005-9449
(207) 283-1427
(207) 283-1429
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
016107
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099888
ANTHEM
ME
01
—
1643593
AETNA
ME
05
—
255930099
—
ME
01
—
305071
HARVARD PILGRIM HEALTHCAR
ME
01
—
7898906
CIGNA
ME
Enumeration date
12/20/2005
Last updated
01/25/2011
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