Individual
DR. PAUL BLAKE WOODEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
115 MT BLUE CIR, SUITE 3, FARMINGTON, ME 04938-6239
(207) 778-6800
(207) 778-9800
Mailing address
115 MT BLUE CIR, SUITE 3, FARMINGTON, ME 04938-6239
(207) 778-6800
(207) 778-9800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014165
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
335310099
—
ME
Enumeration date
01/13/2006
Last updated
12/13/2011
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