Organization
SUNBURY PRIMARY CARE, P.A.
Active
Parent organization
SUNBURY PRIMARY CARE, P.A.
Other names
Sunbury Podiatry Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBURY PRIMARY CARE, P.A.
Authorized official
DAVID L SAVELL (CHIEF EXECUTIVE OFFICER)
(207) 942-7650
Entity
Organization
Contact information
Practice address
900 BROADWAY, BUILDING 1, BANGOR, ME 04401-1900
(207) 945-2616
(207) 945-2623
Mailing address
PO BOX 921, BANGOR, ME 04402-0921
(207) 990-0864
(207) 990-5586
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD1028
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432023300
—
ME
Enumeration date
11/03/2006
Last updated
01/21/2009
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