Individual
DR. DAVID ESTEL GIDEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 623-8411
Mailing address
PO BOX 239, MT VERNON, ME 04352-0239
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1125
ME
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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