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Individual

CHRISTOPHER SHORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
22 PLEASANT ST, MECHANIC FALLS, ME 04256-6108
(207) 345-9729
(207) 345-9421
Mailing address
22 PLEASANT ST, MECHANIC FALLS, ME 04256-6108
(207) 345-9729
(207) 345-9421

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1595
ME
2083X0100X
Occupational Medicine Physician
1595
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306820099
ME
Enumeration date
04/03/2007
Last updated
09/14/2009
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