Organization
ALLAN W NYMAN DPM PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLAN W NYMAN DPM PA (OWNER)
(207) 873-2683
Entity
Organization
Contact information
Practice address
316 MAIN ST, WATERVILLE, ME 04901-4921
(207) 873-2683
Mailing address
316 MAIN ST, WATERVILLE, ME 04901-4921
(207) 873-2683
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD136
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000591
ANTHEM
ME
01
—
601659
M'CARE GROUP NO.
—
Enumeration date
12/07/2007
Last updated
12/07/2007
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