Organization
JOHN R. MCGILL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R MCGILL M.D. (PRESIDENT)
(207) 947-4555
Entity
Organization
Contact information
Practice address
436A STATE ST, BANGOR, ME 04401-6606
(207) 947-4555
(207) 947-3619
Mailing address
436A STATE ST, BANGOR, ME 04401-6606
(207) 947-4555
(207) 947-3619
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009457
ME
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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