Organization
INTEGRATED MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HAWKINS IRWIN III D.O. (OWNER)
(207) 680-2070
Entity
Organization
Contact information
Practice address
40 AIRPORT RD, SUITE 2, WATERVILLE, ME 04901-4524
(207) 680-2070
(207) 680-2074
Mailing address
40 AIRPORT RD, SUITE 2, WATERVILLE, ME 04901-4524
(207) 680-2070
(207) 680-2074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197070000
—
ME
Enumeration date
07/05/2006
Last updated
02/06/2014
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