Organization
UCFA PHYSICIANS NETWORK GROUP OF MAINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEO STEPHENS (ACTING CHIEF)
(423) 271-9911
Entity
Organization
Contact information
Practice address
6 CITY CTR, PORTLAND, ME 04101-4000
(423) 271-9911
Mailing address
8930 CROSS PARK DR STE 3, KNOXVILLE, TN 37923-4713
(423) 271-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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