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Individual

JOSE D DEMOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
46 FAIRVIEW AVE, SUITE 223, SKOWHEGAN, ME 04976-1481
(207) 474-7045
(207) 474-6355
Mailing address
PO BOX 468, SKOWHEGAN, ME 04976-0468
(207) 474-7045
(207) 474-6355

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
24310
KY
208600000X
Surgery Physician
Primary
MD17340
ME
208600000X
Surgery Physician
MD2005-0128
NM

Other

Enumeration date
08/22/2006
Last updated
06/29/2012
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