Organization
SPECTRUM MEDICAL GROUP, P.A.
Active
Parent organization
SPECTRUM MEDICAL GROUP, P.A.
Other names
Northern Radiology Associates of Maine
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM MEDICAL GROUP, P.A.
Authorized official
DAVID LANDRY (CHIEF EXECUTIVE OFFICER)
(207) 482-7800
Entity
Organization
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 482-7800
Mailing address
PO BOX 138, LEWISTON, ME 04243-0138
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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