Organization
EASTERN MAINE EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARTH ALLEN WILBANKS MD (PRESIDENT)
(207) 947-6743
Entity
Organization
Contact information
Practice address
900 HAMMOND ST # A, BANGOR, ME 04401-4378
(207) 947-6743
(207) 945-4397
Mailing address
900 HAMMOND ST # A, BANGOR, ME 04401-4378
(207) 947-6743
(207) 945-4397
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127470000
—
ME
Enumeration date
10/26/2005
Last updated
06/07/2016
Update your record
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