Organization
SEBASTICOOK VALLEY FAMILY PRACTICE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL CLARK (VP OF FINANCE)
(207) 487-4022
Entity
Organization
Contact information
Practice address
1573 MAIN ST, PALMYRA, ME 04965-3236
(207) 487-4021
(207) 487-4021
Mailing address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(207) 487-4021
(207) 487-4021
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/26/2010
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