Individual
DR. PETER R GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 UNION ST, SUITE 3100, ELLSWORTH, ME 04605-1534
(207) 664-2594
(207) 667-3040
Mailing address
PO BOX 1849, LEWISOTN, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
013225
ME
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD13225
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022584
ANTHEM
ME
05
—
284360000
—
ME
Enumeration date
09/22/2006
Last updated
01/11/2013
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